| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,518.41 | $1,543.03 | $3,955.04 | |
Aetna
| Professional | $79.20 | $142.90 | $152.28 | |
United
| Facility | $1,069.00 | $1,788.00 | $4,602.00 | |
United
| Professional | $59.33 | $178.83 | $245.79 |