| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,073.80 | $4,073.80 | $7,244.36 | |
Aetna
| Professional | $138.04 | $162.18 | $741.31 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 | |
United
| Professional | $169.82 | $208.93 | $295.12 |