| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,606.93 | $6,606.93 | $7,244.36 | |
Aetna
| Professional | $831.76 | $1,148.15 | $1,380.38 | |
United
| Facility | $2,187.76 | $2,187.76 | $2,187.76 | |
United
| Professional | $1,412.54 | $1,862.09 | $2,951.21 |