| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $303.80 | $7,799.00 | $21,886.00 | |
Aetna
| Professional | $303.80 | $303.80 | $318.49 | |
Medcost
| Facility | $303.80 | $309.14 | $516.46 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Facility | $659.00 | $6,107.00 | $8,818.00 | |
United
| Professional | $320.45 | $445.09 | $798.80 |