| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $877.00 | $2,008.00 | $7,934.00 | |
Aetna
| Professional | $304.48 | $304.48 | $575.77 | |
United
| Facility | $1,240.00 | $2,314.00 | $5,652.00 | |
United
| Professional | $460.07 | $634.78 | $1,053.51 |