| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,090.73 | $2,778.87 | $3,955.04 | |
Aetna
| Professional | $911.96 | $1,531.44 | $1,627.07 | |
United
| Facility | $1,649.00 | $4,915.00 | $7,205.00 | |
United
| Professional | $1,301.72 | $2,042.40 | $3,454.37 |