| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,744.79 | $1,744.79 | $1,744.79 | |
Aetna
| Professional | $557.94 | $1,292.44 | $1,433.69 | |
Molina
| Professional | $40.00 | $40.00 | $40.00 | |
United
| Professional | $296.63 | $423.75 | $1,205.55 |