| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $988.00 | $2,747.00 | $2,898.00 | |
Aetna
| Professional | $358.91 | $358.91 | $358.91 | |
HMSA
| Professional | $463.42 | $520.66 | $607.33 | |
United
| Facility | $2,446.00 | $2,446.00 | $2,446.00 | |
United
| Professional | $417.11 | $979.94 | $1,058.33 |