| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,706.14 | $3,706.14 | $3,955.04 | |
Aetna
| Professional | $156.74 | $729.55 | $777.33 | |
United
| Facility | $3,599.00 | $7,228.00 | $12,680.00 | |
United
| Professional | $551.14 | $794.38 | $1,210.48 |