| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $900.00 | $2,562.00 | $4,050.00 | |
Aetna
| Professional | $1,358.37 | $1,447.64 | $1,580.15 | |
United
| Facility | $385.00 | $1,309.00 | $7,168.00 | |
United
| Professional | $1,352.20 | $1,973.16 | $3,000.91 |