| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $549.54 | $3,019.95 | $3,311.31 | |
Aetna
| Professional | $489.78 | $562.34 | $776.25 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 | |
United
| Facility | $707.95 | $707.95 | $707.95 | |
United
| Professional | $295.12 | $416.87 | $707.95 |