| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,073.80 | $4,073.80 | $7,244.36 | |
Aetna
| Professional | $46.77 | $234.42 | $4,677.35 | |
United
| Facility | $501.19 | $501.19 | $501.19 | |
United
| Professional | $53.70 | $1,148.15 | $2,754.23 |