| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $977.00 | $2,477.00 | $9,477.00 | |
Aetna
| Professional | $29.19 | $29.19 | $338.63 | |
United
| Facility | $2,896.00 | $5,749.00 | $12,152.00 | |
United
| Professional | $45.84 | $62.72 | $101.00 |