| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $174.44 | $1,821.00 | $9,477.00 | |
Aetna
| Professional | $171.75 | $192.80 | $312.13 | |
United
| Facility | $1,565.00 | $2,828.00 | $6,992.00 | |
United
| Professional | $251.09 | $427.44 | $602.22 |