| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,424.15 | $3,243.94 | $3,955.04 | |
Aetna
| Professional | $120.35 | $202.82 | $215.47 | |
United
| Facility | $1,395.00 | $2,384.00 | $5,510.00 | |
United
| Professional | $172.40 | $270.49 | $416.63 |