| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $690.00 | $1,688.00 | $3,109.00 | |
Aetna
| Professional | $253.39 | $2,400.00 | $2,400.00 | |
United
| Facility | $130.00 | $337.00 | $858.00 | |
United
| Professional | $369.94 | $437.91 | $740.18 |