| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.31 | $1,821.00 | $9,477.00 | |
Aetna
| Professional | $63.31 | $114.38 | $114.38 | |
United
| Facility | $980.00 | $1,825.00 | $4,233.00 | |
United
| Professional | $92.46 | $129.57 | $208.64 |