| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,244.36 | $7,244.36 | $7,244.36 | |
Aetna
| Professional | $69.18 | $79.43 | $117.49 | |
United
| Facility | $501.19 | $501.19 | $501.19 | |
United
| Professional | $64.57 | $83.18 | $165.96 |