| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $136.59 | $1,632.00 | $4,478.00 | |
Aetna
| Professional | $136.59 | $152.16 | $246.33 | |
United
| Facility | $130.00 | $328.00 | $858.00 | |
United
| Professional | $197.48 | $246.85 | $363.22 |