| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $752.50 | $2,333.00 | $9,477.00 | |
Aetna
| Professional | $752.50 | $752.50 | $1,386.92 | |
United
| Facility | $1,240.00 | $2,931.00 | $11,169.00 | |
United
| Professional | $1,116.89 | $1,675.34 | $2,506.17 |