| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,981.07 | $3,981.07 | $4,786.30 | |
Aetna
| Professional | $660.69 | $1,202.26 | $1,348.96 | |
United
| Facility | $4,466.84 | $8,128.31 | $33,113.11 | |
United
| Professional | $1,148.15 | $1,548.82 | $2,454.71 |