| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,244.36 | $7,244.36 | $16,218.10 | |
Aetna
| Professional | $1,096.48 | $1,258.93 | $2,290.87 | |
United
| Facility | $151.36 | $151.36 | $151.36 | |
United
| Professional | $1,819.70 | $2,137.96 | $4,168.69 |