| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,235.94 | $3,235.94 | $7,244.36 | |
Aetna
| Professional | $199.53 | $295.12 | $1,202.26 | |
United
| Facility | $104.71 | $144.54 | $501.19 | |
United
| Professional | $234.42 | $309.03 | $457.09 |