| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,818.38 | $2,818.38 | $2,818.38 | |
Aetna
| Professional | $234.42 | $645.65 | $851.14 | |
United
| Facility | $2,884.03 | $2,884.03 | $2,884.03 | |
United
| Professional | $851.14 | $1,000.00 | $1,230.27 |