| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,057.00 | $1,632.00 | $4,478.00 | |
Aetna
| Professional | $247.24 | $1,479.41 | $1,479.41 | |
United
| Facility | $1,240.00 | $2,311.00 | $5,652.00 | |
United
| Professional | $347.31 | $466.81 | $735.33 |