| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,424.15 | $3,243.94 | $3,955.04 | |
Aetna
| Professional | $163.19 | $428.11 | $471.32 | |
United
| Facility | $437.00 | $1,417.00 | $4,915.00 | |
United
| Professional | $387.86 | $472.34 | $654.17 |