| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,570.40 | $6,025.60 | $6,025.60 | |
Aetna
| Professional | $912.01 | $1,258.93 | $1,698.24 | |
United
| Facility | $3,019.95 | $3,019.95 | $3,019.95 | |
United
| Professional | $933.25 | $1,096.48 | $1,949.84 | |
University Health Alliance
| Professional | $8,128.31 | $12,882.50 | $15,488.17 |