| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $154.40 | $1,181.00 | $3,109.00 | |
Aetna
| Professional | $154.40 | $244.13 | $316.08 | |
United
| Facility | $330.00 | $811.00 | $2,285.00 | |
United
| Professional | $228.48 | $326.08 | $522.76 |