| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,706.14 | $3,706.14 | $3,955.04 | |
Aetna
| Professional | $46.09 | $84.35 | $92.87 | |
United
| Facility | $1,649.00 | $4,915.00 | $7,205.00 | |
United
| Professional | $89.39 | $118.01 | $182.30 |