| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $138.34 | $1,782.00 | $9,034.00 | |
Aetna
| Professional | $138.34 | $152.74 | $261.67 | |
United
| Facility | $1,565.00 | $2,667.00 | $6,957.00 | |
United
| Professional | $209.03 | $275.33 | $446.19 |