| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $575.44 | $1,071.52 | $2,454.71 | |
Aetna
| Professional | $363.08 | $549.54 | $851.14 | |
United
| Facility | $371.54 | $1,071.52 | $2,570.40 | |
United
| Professional | $537.03 | $660.69 | $933.25 |