| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,706.14 | $3,955.04 | $5,496.04 | |
Aetna
| Professional | $622.80 | $1,323.11 | $1,403.71 | |
United
| Facility | $3,146.00 | $4,086.00 | $11,950.00 | |
United
| Professional | $1,289.53 | $1,816.98 | $2,256.67 |