| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $725.46 | $782.72 | $799.89 | |
Providence
| Professional | $772.70 | $772.70 | $1,208.74 | |
United
| Facility | $2,090.00 | $2,090.00 | $2,090.00 | |
United
| Professional | $1,242.28 | $1,385.62 | $1,600.63 |