| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,736.00 | $4,736.00 | $6,907.00 | |
Aetna
| Professional | $801.89 | $917.21 | $917.21 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,530.00 | |
United
| Professional | $773.18 | $1,014.79 | $2,090.46 |