| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $505.86 | $935.20 | $1,096.99 | |
Health Alliance Plan
| Professional | $83.79 | $746.63 | $964.83 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $80.19 | $102.29 | $1,090.91 |