| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,025.60 | $6,025.60 | $7,244.36 | |
Aetna
| Professional | $398.11 | $467.74 | $602.56 | |
United
| Facility | $1,202.26 | $1,202.26 | $1,202.26 | |
United
| Professional | $501.19 | $575.44 | $1,148.15 |