| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $289.45 | $1,632.00 | $4,478.00 | |
Aetna
| Professional | $289.45 | $450.08 | $613.64 | |
United
| Facility | $980.00 | $2,119.00 | $8,852.00 | |
United
| Professional | $448.97 | $651.74 | $933.60 |