| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $142.86 | $1,821.00 | $9,477.00 | |
Aetna
| Professional | $126.12 | $142.86 | $142.86 | |
United
| Facility | $130.00 | $337.00 | $858.00 | |
United
| Professional | $285.95 | $349.50 | $606.66 |