| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $613.33 | $7,838.38 | $7,838.38 | |
Aetna
| Professional | $172.44 | $613.33 | $638.02 | |
Molina
| Professional | $60.00 | $332.80 | $1,663.97 | |
United
| Facility | $3,085.00 | $4,262.00 | $17,636.00 | |
United
| Professional | $543.21 | $872.10 | $1,531.36 |