| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $239.88 | $1,819.70 | $1,995.26 | |
Aetna
| Professional | $165.96 | $251.19 | $288.40 | |
United
| Facility | $691.83 | $1,380.38 | $4,073.80 | |
United
| Professional | $239.88 | $316.23 | $562.34 |