| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $692.00 | $1,688.00 | $3,804.00 | |
Aetna
| Professional | $233.36 | $233.36 | $3,271.05 | |
United
| Facility | $130.00 | $328.00 | $858.00 | |
United
| Professional | $1,777.99 | $2,123.51 | $3,544.05 |