| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $79.62 | $1,181.00 | $3,109.00 | |
Aetna
| Professional | $79.62 | $79.62 | $150.34 | |
United
| Facility | $330.00 | $827.00 | $2,285.00 | |
United
| Professional | $138.26 | $187.42 | $330.06 |