| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $224.97 | $1,181.00 | $3,109.00 | |
Aetna
| Professional | $224.97 | $224.97 | $801.25 | |
United
| Facility | $375.00 | $1,056.00 | $2,558.00 | |
United
| Professional | $581.61 | $1,012.00 | $1,353.20 |