| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $400.00 | $1,181.00 | $3,109.00 | |
Aetna
| Professional | $45.38 | $400.00 | $400.00 | |
United
| Facility | $130.00 | $328.00 | $768.00 | |
United
| Professional | $95.13 | $115.22 | $194.74 |