| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,513.56 | $1,548.82 | $3,981.07 | |
Aetna
| Professional | $162.18 | $302.00 | $338.84 | |
United
| Facility | $436.52 | $1,412.54 | $6,456.54 | |
United
| Professional | $251.19 | $380.19 | $575.44 |