| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $474.63 | $1,990.00 | $3,324.00 | |
Aetna
| Professional | $391.09 | $474.63 | $897.44 | |
United
| Facility | $3,741.00 | $12,399.00 | $25,144.00 | |
United
| Professional | $687.92 | $989.51 | $1,530.82 |