| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $7,838.38 | $14,860.56 | |
Aetna
| Professional | $46.58 | $154.74 | $160.97 | |
Molina
| Professional | $60.00 | $85.00 | $577.61 | |
United
| Facility | $10,609.00 | $21,608.00 | $23,186.00 | |
United
| Professional | $62.78 | $80.30 | $115.33 |