| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,778.28 | $4,466.84 | $4,466.84 | |
Aetna
| Professional | $3,467.37 | $4,897.79 | $5,495.41 | |
United
| Facility | $3,311.31 | $3,311.31 | $3,311.31 | |
United
| Professional | $1,000.00 | $1,380.38 | $1,995.26 |