| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,025.60 | $7,244.36 | $16,218.10 | |
Aetna
| Professional | $61.66 | $199.53 | $363.08 | |
United
| Facility | $3,019.95 | $3,019.95 | $3,019.95 | |
United
| Professional | $51.29 | $58.88 | $117.49 |