| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,818.38 | $8,128.31 | $8,128.31 | |
Aetna
| Professional | $1,000.00 | $1,122.02 | $1,348.96 | |
United
| Facility | $3,311.31 | $3,311.31 | $3,311.31 | |
United
| Professional | $1,348.96 | $1,584.89 | $1,862.09 |