| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,706.14 | $3,955.04 | $15,000.00 | |
Aetna
| Professional | $953.64 | $1,929.98 | $2,055.02 | |
United
| Facility | $1,649.00 | $4,915.00 | $7,205.00 | |
United
| Professional | $1,995.75 | $2,691.36 | $4,146.27 |