| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,801.89 | $5,888.44 | $16,595.87 | |
Aetna
| Professional | $186.21 | $257.04 | $302.00 | |
Medcost
| Facility | $245.47 | $302.00 | $457.09 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 | |
United
| Facility | $380.19 | $1,230.27 | $3,548.13 | |
United
| Professional | $257.04 | $316.23 | $549.54 |