| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $471.40 | $691.31 | $2,027.02 | |
Aetna
| Professional | $446.87 | $471.40 | $537.39 | |
United
| Facility | $1,143.08 | $1,143.08 | $1,143.08 | |
United
| Professional | $436.87 | $525.46 | $730.26 |