| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,981.07 | $3,981.07 | $4,786.30 | |
Aetna
| Professional | $363.08 | $707.95 | $1,905.46 | |
United
| Facility | $4,466.84 | $11,220.18 | $74,131.02 | |
United
| Professional | $602.56 | $831.76 | $1,258.93 |