| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,244.36 | $7,244.36 | $7,244.36 | |
Aetna
| Professional | $1,479.11 | $1,737.80 | $2,454.71 | |
United
| Facility | $151.36 | $151.36 | $151.36 | |
United
| Professional | $1,778.28 | $2,344.23 | $4,073.80 |