| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $482.10 | $1,782.00 | $9,034.00 | |
Aetna
| Professional | $348.69 | $482.10 | $911.26 | |
United
| Facility | $2,896.00 | $5,749.00 | $12,152.00 | |
United
| Professional | $698.74 | $999.99 | $1,554.90 |