| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,778.28 | $4,466.84 | $4,466.84 | |
Aetna
| Professional | $316.23 | $588.84 | $707.95 | |
United
| Facility | $2,137.96 | $2,137.96 | $2,137.96 | |
United
| Professional | $501.19 | $831.76 | $1,000.00 |