| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $744.80 | $1,342.00 | $3,804.00 | |
Aetna
| Professional | $178.29 | $744.80 | $744.80 | |
United
| Facility | $1,565.00 | $2,828.00 | $6,992.00 | |
United
| Professional | $156.05 | $214.47 | $378.14 |