| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,778.28 | $4,466.84 | $4,466.84 | |
Aetna
| Professional | $1,000.00 | $2,187.76 | $7,585.78 | |
United
| Facility | $3,311.31 | $3,311.31 | $3,311.31 | |
United
| Professional | $1,174.90 | $1,621.81 | $2,344.23 |