| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $137.86 | $1,181.00 | $3,109.00 | |
Aetna
| Professional | $137.86 | $190.30 | $282.18 | |
United
| Facility | $1,240.00 | $2,311.00 | $5,652.00 | |
United
| Professional | $204.01 | $290.58 | $465.84 |