| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $259.07 | $1,181.00 | $3,109.00 | |
Aetna
| Professional | $259.07 | $294.39 | $627.40 | |
United
| Facility | $130.00 | $328.00 | $858.00 | |
United
| Professional | $396.52 | $590.39 | $951.02 |