| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $807.49 | $1,821.00 | $9,477.00 | |
Aetna
| Professional | $807.49 | $807.49 | $1,875.72 | |
United
| Facility | $375.00 | $1,056.00 | $2,558.00 | |
United
| Professional | $1,068.52 | $1,380.42 | $2,700.87 |