| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $960.00 | $1,442.62 | $2,250.00 | |
Aetna
| Professional | $1,234.19 | $1,442.62 | $1,631.79 | |
United
| Facility | $650.00 | $1,754.00 | $5,201.00 | |
United
| Professional | $1,094.99 | $1,595.94 | $2,234.69 |