| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $193.09 | $1,782.00 | $9,034.00 | |
Aetna
| Professional | $193.09 | $193.09 | $377.58 | |
United
| Facility | $2,896.00 | $5,749.00 | $12,152.00 | |
United
| Professional | $286.35 | $395.68 | $631.65 |