| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $210.25 | $1,782.00 | $9,034.00 | |
Aetna
| Professional | $210.25 | $210.25 | $755.80 | |
United
| Facility | $1,240.00 | $2,314.00 | $5,652.00 | |
United
| Professional | $311.77 | $426.38 | $675.50 |