| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,438.26 | $3,706.14 | $4,026.21 | |
Aetna
| Professional | $929.70 | $1,610.62 | $1,716.18 | |
United
| Facility | $4,596.00 | $7,457.00 | $12,945.00 | |
United
| Professional | $1,670.23 | $2,227.50 | $3,178.83 |