| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,019.95 | $3,019.95 | $3,019.95 | |
Aetna
| Professional | $2,951.21 | $3,019.95 | $3,630.78 | |
Select Health
| Professional | $3,311.31 | $3,311.31 | $3,715.35 | |
United
| Professional | $3,019.95 | $3,019.95 | $3,019.95 |