| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $812.83 | $1,412.54 | $1,819.70 | |
Aetna
| Professional | $489.78 | $588.84 | $812.83 | |
Molina
| Professional | $16.98 | $21.38 | $50.12 | |
United
| Facility | $660.69 | $660.69 | $891.25 | |
United
| Professional | $309.03 | $446.68 | $1,659.59 |