| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,413.10 | $7,413.10 | $7,413.10 | |
Aetna
| Professional | $1,995.26 | $2,344.23 | $5,754.40 | |
United
| Facility | $3,019.95 | $3,019.95 | $3,019.95 | |
United
| Professional | $1,288.25 | $1,819.70 | $5,128.61 |