| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $245.96 | $1,632.00 | $4,478.00 | |
Aetna
| Professional | $245.96 | $245.96 | $459.43 | |
United
| Facility | $1,240.00 | $2,931.00 | $10,318.06 | |
United
| Professional | $368.61 | $540.35 | $805.03 |