| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $741.31 | $1,023.29 | $3,548.13 | |
Aetna
| Professional | $416.87 | $588.84 | $891.25 | |
United
| Facility | $295.12 | $707.95 | $707.95 | |
United
| Professional | $295.12 | $346.74 | $912.01 |