| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $88.06 | $1,821.00 | $9,477.00 | |
Aetna
| Professional | $88.06 | $88.06 | $161.72 | |
United
| Facility | $1,565.00 | $2,920.00 | $6,992.00 | |
United
| Professional | $139.66 | $208.00 | $305.86 |