| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,244.36 | $7,244.36 | $7,244.36 | |
Aetna
| Professional | $1,445.44 | $1,698.24 | $1,778.28 | |
United
| Facility | $151.36 | $151.36 | $151.36 | |
United
| Professional | $1,258.93 | $1,548.82 | $3,162.28 |