| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,057.00 | $1,632.00 | $4,478.00 | |
Aetna
| Professional | $1,128.70 | $1,176.22 | $2,172.14 | |
United
| Facility | $1,240.00 | $2,314.00 | $5,652.00 | |
United
| Professional | $1,790.92 | $2,433.87 | $3,586.77 |