| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,495.41 | $5,495.41 | $5,495.41 | |
Aetna
| Professional | $1,479.11 | $1,698.24 | $2,570.40 | |
United
| Facility | $2,238.72 | $2,238.72 | $2,238.72 | |
United
| Professional | $954.99 | $1,318.26 | $3,801.89 |