| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,244.36 | $7,244.36 | $16,218.10 | |
Aetna
| Professional | $1,659.59 | $2,089.30 | $6,025.60 | |
United
| Facility | $151.36 | $151.36 | $151.36 | |
United
| Professional | $776.25 | $1,047.13 | $3,162.28 |