| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,897.79 | $7,244.36 | $16,218.10 | |
Aetna
| Professional | $3,467.37 | $4,466.84 | $5,623.41 | |
United
| Facility | $3,019.95 | $3,019.95 | $3,019.95 | |
United
| Professional | $660.69 | $891.25 | $2,691.53 |