| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $920.00 | $1,342.00 | $3,804.00 | |
Aetna
| Professional | $64.58 | $1,000.00 | $1,206.66 | |
United
| Facility | $130.00 | $337.00 | $858.00 | |
United
| Professional | $1,795.65 | $2,109.67 | $3,488.63 |