| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $210.15 | $2,333.00 | $9,477.00 | |
Aetna
| Professional | $210.15 | $210.15 | $397.20 | |
United
| Facility | $3,741.00 | $14,522.00 | $38,158.51 | |
United
| Professional | $317.55 | $472.15 | $720.79 |