| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,993.72 | $3,706.14 | $3,955.04 | |
Aetna
| Professional | $2,589.35 | $10,311.73 | $10,987.30 | |
United
| Facility | $5,074.00 | $7,819.00 | $19,195.00 | |
United
| Professional | $10,365.29 | $12,758.90 | $17,109.36 |