| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $753.28 | $1,342.00 | $3,804.00 | |
Aetna
| Professional | $753.28 | $753.28 | $1,400.42 | |
United
| Facility | $980.00 | $1,825.00 | $4,233.00 | |
United
| Professional | $1,151.49 | $1,554.51 | $2,454.40 |