| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $988.00 | $2,747.00 | $2,898.00 | |
Aetna
| Professional | $300.45 | $300.45 | $300.45 | |
United
| Facility | $3,028.00 | $3,028.00 | $3,028.00 | |
United
| Professional | $312.56 | $422.06 | $434.78 |