| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $904.98 | $1,342.00 | $3,804.00 | |
Aetna
| Professional | $904.98 | $904.98 | $1,684.63 | |
United
| Facility | $980.00 | $1,825.00 | $4,233.00 | |
United
| Professional | $1,396.61 | $1,747.10 | $2,976.87 |