| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,244.36 | $7,244.36 | $7,244.36 | |
Aetna
| Professional | $83.18 | $138.04 | $162.18 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 | |
United
| Professional | $131.83 | $173.78 | $263.03 |