| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $371.54 | $512.86 | $1,778.28 | |
Aetna
| Professional | $208.93 | $295.12 | $436.52 | |
United
| Facility | $147.91 | $346.74 | $346.74 | |
United
| Professional | $147.91 | $173.78 | $457.09 |