| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,518.41 | $1,543.03 | $3,955.04 | |
Aetna
| Professional | $145.97 | $145.97 | $749.39 | |
United
| Facility | $540.00 | $1,401.00 | $4,915.00 | |
United
| Professional | $45.00 | $51.30 | $69.23 |