| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $193.58 | $1,821.00 | $9,477.00 | |
Aetna
| Professional | $193.58 | $193.58 | $365.82 | |
United
| Facility | $375.00 | $1,056.00 | $2,558.00 | |
United
| Professional | $296.16 | $385.16 | $624.36 |