| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $283.89 | $1,181.00 | $3,109.00 | |
Aetna
| Professional | $283.89 | $547.55 | $1,142.95 | |
United
| Facility | $130.00 | $328.00 | $858.00 | |
United
| Professional | $420.88 | $800.56 | $1,683.05 |