| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,570.40 | $6,025.60 | $6,025.60 | |
Aetna
| Professional | $1,000.00 | $1,230.27 | $1,380.38 | |
United
| Facility | $3,019.95 | $3,019.95 | $3,019.95 | |
United
| Professional | $1,047.13 | $1,548.82 | $1,905.46 |