| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,090.30 | $5,370.32 | $10,715.19 | |
Aetna
| Professional | $660.69 | $660.69 | $1,380.38 | |
Select Health
| Professional | $645.65 | $645.65 | $660.69 | |
United
| Facility | $1,479.11 | $4,168.69 | $7,079.46 |