| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,424.15 | $3,706.14 | $21,145.97 | |
Aetna
| Facility | 50 | $32,662.76 | $32,662.76 | $34,221.17 |
Aetna
| Professional | 50 | $484.53 | $969.06 | $2,967.90 |
United
| Facility | $3,713.00 | $7,457.00 | $12,945.00 |