| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,897.79 | $7,244.36 | $16,218.10 | |
Aetna
| Professional | $616.60 | $4,466.84 | $8,709.64 | |
United
| Facility | $3,019.95 | $3,019.95 | $3,019.95 | |
United
| Professional | $331.13 | $426.58 | $1,071.52 |