| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $2,884.03 | $2,884.03 | |
Aetna
| Professional | $478.63 | $1,479.11 | $1,479.11 | |
United
| Facility | $1,071.52 | $1,071.52 | $1,071.52 | |
University Health Alliance
| Professional | $75.86 | $549.54 | $616.60 |