| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $460.00 | $1,632.00 | $4,478.00 | |
Aetna
| Professional | $460.00 | $505.64 | $856.31 | |
United
| Facility | $1,565.00 | $2,667.00 | $6,957.00 | |
United
| Professional | $715.61 | $965.64 | $1,536.39 |