| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $382.53 | $1,641.00 | $9,477.00 | |
Aetna
| Professional | $382.53 | $382.53 | $5,974.51 | |
United
| Facility | $2,896.00 | $5,749.00 | $12,152.00 | |
United
| Professional | $473.86 | $788.16 | $1,693.39 |