| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $256.70 | $1,342.00 | $3,804.00 | |
Aetna
| Professional | $256.70 | $256.70 | $485.43 | |
United
| Facility | $590.00 | $1,263.00 | $2,558.00 | |
United
| Professional | $387.88 | $551.47 | $827.96 |