| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $311.87 | $1,782.00 | $9,034.00 | |
Aetna
| Professional | $311.87 | $311.87 | $575.76 | |
United
| Facility | $3,741.00 | $12,500.00 | $25,144.00 | |
United
| Professional | $462.81 | $665.27 | $951.69 |