| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $575.44 | $3,162.28 | $3,548.13 | |
Aetna
| Professional | $524.81 | $588.84 | $724.44 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 | |
United
| Facility | $741.31 | $741.31 | $741.31 | |
United
| Professional | $309.03 | $446.68 | $741.31 |