| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,244.36 | $7,244.36 | $7,244.36 | |
Aetna
| Professional | $3,467.37 | $3,981.07 | $8,709.64 | |
United
| Facility | $151.36 | $151.36 | $151.36 | |
United
| Professional | $2,630.27 | $3,548.13 | $5,370.32 |