| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $575.44 | $1,071.52 | $2,454.71 | |
Aetna
| Professional | $223.87 | $575.44 | $741.31 | |
United
| Facility | $371.54 | $1,071.52 | $2,570.40 | |
United
| Professional | $575.44 | $812.83 | $1,288.25 |