| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,235.94 | $3,235.94 | $7,244.36 | |
Aetna
| Professional | $46.77 | $61.66 | $223.87 | |
United
| Facility | $5,011.87 | $5,011.87 | $5,011.87 | |
United
| Professional | $38.90 | $50.12 | $100.00 |