| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $933.25 | $2,691.53 | $4,365.16 | |
Aetna
| Professional | $1,348.96 | $1,905.46 | $2,511.89 | |
United
| Facility | $389.05 | $1,230.27 | $6,165.95 | |
United
| Professional | $1,096.48 | $1,698.24 | $3,162.28 |