| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,706.14 | $3,955.04 | $5,695.56 | |
Aetna
| Professional | $664.68 | $1,141.75 | $1,215.71 | |
United
| Facility | $5,074.00 | $7,819.00 | $19,195.00 | |
United
| Professional | $1,180.64 | $1,592.18 | $2,468.32 |