| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $112.79 | $1,181.00 | $3,109.00 | |
Aetna
| Professional | $112.79 | $112.79 | $213.09 | |
United
| Facility | $375.00 | $1,056.00 | $2,558.00 | |
United
| Professional | $163.47 | $203.55 | $299.86 |