| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,244.36 | $7,244.36 | $7,585.78 | |
Aetna
| Professional | $489.78 | $707.95 | $707.95 | |
United
| Facility | $1,202.26 | $1,202.26 | $1,202.26 | |
United
| Professional | $575.44 | $676.08 | $1,318.26 |