| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $105.74 | $2,095.00 | $7,838.38 | |
Aetna
| Professional | $103.87 | $105.74 | $105.74 | |
United
| Facility | $639.00 | $6,599.00 | $8,422.00 | |
United
| Professional | $140.80 | $169.59 | $220.80 |