| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $151.16 | $1,181.00 | $3,109.00 | |
Aetna
| Professional | $151.16 | $210.90 | $320.33 | |
United
| Facility | $2,104.00 | $4,334.00 | $8,676.00 | |
United
| Professional | $234.44 | $339.94 | $518.46 |