| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $758.58 | $1,047.13 | $3,630.78 | |
Aetna
| Professional | $426.58 | $602.56 | $891.25 | |
United
| Facility | $295.12 | $707.95 | $707.95 | |
United
| Professional | $295.12 | $354.81 | $933.25 |