| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $239.88 | $239.88 | $363.08 | |
Aetna
| Professional | $239.88 | $239.88 | $269.15 | |
United
| Facility | $371.54 | $1,071.52 | $2,570.40 | |
United
| Professional | $229.09 | $316.23 | $549.54 |