| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $133.61 | $1,632.00 | $4,478.00 | |
Aetna
| Professional | $133.61 | $133.61 | $597.92 | |
United
| Facility | $1,240.00 | $2,314.00 | $5,652.00 | |
United
| Professional | $201.89 | $300.18 | $469.48 |