| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $209.10 | $1,342.00 | $3,804.00 | |
Aetna
| Professional | $209.10 | $328.39 | $444.68 | |
United
| Facility | $1,240.00 | $2,311.00 | $5,626.00 | |
United
| Professional | $331.57 | $474.69 | $680.13 |