| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,424.15 | $3,243.94 | $3,955.04 | |
Aetna
| Professional | $317.26 | $613.76 | $835.88 | |
United
| Facility | $2,569.00 | $4,571.00 | $7,350.00 | |
United
| Professional | $474.46 | $755.24 | $1,170.70 |