| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $355.32 | $2,344.00 | $9,477.00 | |
Aetna
| Professional | $355.32 | $355.32 | $671.64 | |
United
| Facility | $2,896.00 | $5,749.00 | $12,152.00 | |
United
| Professional | $557.94 | $771.58 | $1,229.41 |