| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $315.83 | $1,181.00 | $3,109.00 | |
Aetna
| Professional | $193.97 | $315.83 | $315.83 | |
United
| Facility | $1,565.00 | $2,920.00 | $6,992.00 | |
United
| Professional | $179.52 | $253.26 | $406.73 |