| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,235.94 | $3,235.94 | $7,244.36 | |
Aetna
| Professional | $154.88 | $194.98 | $741.31 | |
United
| Facility | $501.19 | $501.19 | $501.19 | |
United
| Professional | $38.02 | $51.29 | $102.33 |