| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $883.30 | $1,342.00 | $3,804.00 | |
Aetna
| Professional | $883.30 | $979.25 | $1,622.58 | |
United
| Facility | $3,654.00 | $10,126.00 | $20,724.00 | |
United
| Professional | $1,227.33 | $1,589.71 | $2,771.09 |