| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $988.00 | $2,747.00 | $2,898.00 | |
Aetna
| Professional | $90.21 | $90.21 | $90.21 | |
United
| Facility | $1,078.00 | $1,078.00 | $1,078.00 | |
United
| Professional | $93.87 | $126.71 | $130.43 |