| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,098.00 | $3,228.00 | $8,494.00 | |
United
| Facility | $400.00 | $1,028.00 | $2,319.00 |
Room And Board/Medical Or General Other
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,098.00 | $3,228.00 | $8,494.00 | |
United
| Facility | $400.00 | $1,028.00 | $2,319.00 |