| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $304.85 | $1,782.00 | $9,034.00 | |
Aetna
| Professional | $304.85 | $304.85 | $562.95 | |
United
| Facility | $3,741.00 | $12,500.00 | $25,144.00 | |
United
| Professional | $452.13 | $646.44 | $997.24 |