| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $316.23 | $1,819.70 | $11,748.98 | |
Aetna
| Professional | $239.88 | $239.88 | $912.01 | |
United
| Professional | $34.67 | $39.81 | $60.26 | |
Wellpoint
| Professional | $5.01 | $5.01 | $5.01 |