| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,897.79 | $4,897.79 | $7,244.36 | |
Aetna
| Professional | $812.83 | $912.01 | $2,290.87 | |
United
| Facility | $1,995.26 | $1,995.26 | $2,511.89 | |
United
| Professional | $776.25 | $933.25 | $1,479.11 |