| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,897.79 | $4,897.79 | $7,244.36 | |
Aetna
| Professional | $870.96 | $1,023.29 | $2,398.83 | |
United
| Facility | $2,187.76 | $2,187.76 | $2,187.76 | |
United
| Professional | $758.58 | $977.24 | $1,548.82 |