| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $406.27 | $1,821.00 | $9,477.00 | |
Aetna
| Professional | $237.27 | $406.27 | $768.15 | |
United
| Facility | $1,565.00 | $2,828.00 | $6,992.00 | |
United
| Professional | $567.13 | $748.12 | $1,281.71 |