| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,294.99 | $1,990.00 | $3,324.00 | |
Aetna
| Professional | $1,294.99 | $1,648.22 | $2,749.27 | |
United
| Facility | $2,104.00 | $4,334.00 | $8,676.00 | |
United
| Professional | $1,512.41 | $2,227.85 | $4,520.82 |