| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,181.00 | $1,997.00 | $9,034.00 | |
Aetna
| Professional | $5,742.44 | $5,742.44 | $10,856.95 | |
United
| Facility | $2,896.00 | $5,749.00 | $12,152.00 | |
United
| Professional | $3,260.85 | $10,676.25 | $18,116.33 |