| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,518.41 | $1,543.03 | $3,955.04 | |
Aetna
| Professional | $17.14 | $227.27 | $250.24 | |
United
| Facility | $540.00 | $1,417.00 | $4,915.00 | |
United
| Professional | $21.68 | $34.71 | $46.01 |