| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,715.35 | $3,981.07 | $3,981.07 | |
Aetna
| Professional | $660.69 | $660.69 | $831.76 | |
United
| Facility | $1,819.70 | $4,073.80 | $6,165.95 | |
United
| Professional | $3,019.95 | $3,019.95 | $3,019.95 |