| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,305.40 | $1,990.00 | $3,324.00 | |
Aetna
| Professional | $1,305.40 | $2,049.90 | $2,774.70 | |
United
| Facility | $375.00 | $900.00 | $2,421.00 | |
United
| Professional | $2,069.44 | $2,857.50 | $4,162.01 |