| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,897.79 | $7,244.36 | $16,218.10 | |
Aetna
| Professional | $1,000.00 | $1,949.84 | $5,011.87 | |
United
| Facility | $3,019.95 | $3,019.95 | $3,019.95 | |
United
| Professional | $776.25 | $1,047.13 | $3,162.28 |