| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,398.83 | $3,235.94 | $3,981.07 | |
Aetna
| Professional | $239.88 | $281.84 | $398.11 | |
United
| Facility | $2,818.38 | $5,128.61 | $10,000.00 | |
United
| Professional | $239.88 | $331.13 | $851.14 |