| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,244.36 | $7,244.36 | $7,244.36 | |
Aetna
| Professional | $4,786.30 | $5,888.44 | $12,022.64 | |
United
| Facility | $151.36 | $151.36 | $151.36 | |
United
| Professional | $3,467.37 | $4,466.84 | $11,481.54 |