| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,981.07 | $3,981.07 | $4,786.30 | |
Aetna
| Professional | $616.60 | $1,412.54 | $1,584.89 | |
United
| Facility | $2,818.38 | $5,128.61 | $12,022.64 | |
United
| Professional | $1,096.48 | $1,737.80 | $2,398.83 |