| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $626.35 | $2,333.00 | $9,477.00 | |
Aetna
| Professional | $626.35 | $626.35 | $1,154.35 | |
United
| Facility | $1,240.00 | $2,314.00 | $5,652.00 | |
United
| Professional | $829.78 | $1,512.16 | $2,161.08 |