| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,263.63 | $1,990.00 | $3,324.00 | |
Aetna
| Professional | $1,263.63 | $1,984.30 | $2,685.83 | |
United
| Facility | $375.00 | $900.00 | $2,421.00 | |
United
| Professional | $1,975.76 | $2,868.57 | $4,020.16 |