| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $212.91 | $1,632.00 | $4,478.00 | |
Aetna
| Professional | $212.91 | $212.91 | $397.48 | |
United
| Facility | $1,240.00 | $2,314.00 | $5,652.00 | |
United
| Professional | $325.24 | $424.11 | $651.37 |