| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $240.00 | $240.00 | $360.00 | |
Aetna
| Professional | $240.00 | $240.00 | $240.00 | |
United
| Facility | $375.00 | $1,056.00 | $2,558.00 | |
United
| Professional | $228.06 | $353.00 | $544.44 |