| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $807.49 | $1,641.00 | $9,477.00 | |
Aetna
| Professional | $807.49 | $807.49 | $2,184.51 | |
United
| Facility | $2,896.00 | $5,455.00 | $12,152.00 | |
United
| Professional | $1,126.58 | $1,408.22 | $2,702.31 |