| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $660.69 | $3,630.78 | $4,677.35 | |
Aetna
| Professional | $407.38 | $575.44 | $933.25 | |
Molina
| Professional | $44.67 | $44.67 | $79.43 | |
United
| Professional | $309.03 | $309.03 | $446.68 |