| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,778.28 | $4,466.84 | $4,466.84 | |
Aetna
| Professional | $331.13 | $371.54 | $436.52 | |
United
| Facility | $2,137.96 | $2,137.96 | $2,137.96 | |
United
| Professional | $426.58 | $501.19 | $616.60 |