| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $480.29 | $2,333.00 | $12,074.00 | |
Aetna
| Professional | $480.29 | $480.29 | $8,731.54 | |
United
| Facility | $2,896.00 | $5,749.00 | $14,219.00 | |
United
| Professional | $695.99 | $854.33 | $1,759.24 |