| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $191.16 | $1,821.00 | $9,477.00 | |
Aetna
| Professional | $191.16 | $191.16 | $361.33 | |
United
| Facility | $819.00 | $819.00 | $819.00 | |
United
| Professional | $307.83 | $380.39 | $616.53 |