| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $935.00 | $1,821.00 | $9,477.00 | |
Aetna
| Professional | $555.86 | $935.00 | $935.00 | |
United
| Facility | $375.00 | $1,056.00 | $2,558.00 | |
United
| Professional | $602.40 | $1,463.82 | $2,046.58 |