| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $165.67 | $960.00 | $2,250.00 | |
Aetna
| Professional | $126.89 | $198.27 | $376.40 | |
United
| Facility | $241.00 | $850.00 | $1,349.00 | |
United
| Professional | $129.85 | $166.95 | $528.90 |