| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $280.12 | $1,632.00 | $4,478.00 | |
Aetna
| Professional | $280.12 | $280.12 | $523.19 | |
United
| Facility | $3,741.00 | $7,613.00 | $15,098.00 | |
United
| Professional | $419.79 | $600.64 | $906.88 |