| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,518.41 | $1,543.03 | $3,955.04 | |
Aetna
| Professional | $163.72 | $283.63 | $302.20 | |
United
| Facility | $540.00 | $1,183.00 | $4,915.00 | |
United
| Professional | $285.11 | $392.27 | $604.40 |