| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $812.83 | $1,819.70 | $2,511.89 | |
Aetna
| Professional | $812.83 | $1,862.09 | $12,589.25 | |
United
| Facility | $371.54 | $1,071.52 | $2,570.40 | |
United
| Professional | $1,023.29 | $1,380.38 | $2,818.38 |