| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,706.14 | $3,955.04 | $5,496.04 | |
Aetna
| Professional | $504.73 | $1,101.30 | $1,168.39 | |
United
| Facility | $3,146.00 | $4,086.00 | $9,622.00 | |
United
| Professional | $910.75 | $1,426.47 | $1,881.57 |