| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $333.90 | $1,632.00 | $4,478.00 | |
Aetna
| Professional | $317.95 | $333.90 | $631.28 | |
United
| Facility | $1,240.00 | $2,931.00 | $10,318.06 | |
United
| Professional | $483.95 | $696.11 | $1,076.92 |