| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,096.48 | $1,445.44 | $2,398.83 | |
Aetna
| Professional | $204.17 | $302.00 | $407.38 | |
United
| Facility | $660.69 | $1,659.59 | $5,248.07 | |
United
| Professional | $263.03 | $354.81 | $549.54 |