| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,093.89 | $1,821.00 | $3,109.00 | |
Aetna
| Professional | $699.77 | $1,093.89 | $1,395.28 | |
United
| Facility | $2,104.00 | $4,334.00 | $8,676.00 | |
United
| Professional | $1,038.82 | $1,711.00 | $2,602.94 |