| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,398.83 | $3,235.94 | $3,981.07 | |
Aetna
| Professional | $162.18 | $426.58 | $512.86 | |
United
| Facility | $436.52 | $1,412.54 | $6,456.54 | |
United
| Professional | $371.54 | $467.74 | $691.83 |