| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $613.76 | $1,632.00 | $4,478.00 | |
Aetna
| Professional | $338.40 | $613.76 | $613.76 | |
United
| Facility | $980.00 | $1,650.00 | $4,064.00 | |
United
| Professional | $481.33 | $690.08 | $988.52 |