| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $352.07 | $7,838.38 | $8,763.29 | |
Aetna
| Professional | $345.68 | $345.68 | $352.07 | |
Molina
| Professional | $50.00 | $85.00 | $3,500.00 | |
United
| Facility | $200.00 | $1,084.00 | $1,401.00 | |
United
| Professional | $487.35 | $626.99 | $934.57 |