| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $467.99 | $7,838.38 | $7,838.38 | |
Aetna
| Professional | $467.99 | $470.20 | $486.84 | |
Molina
| Professional | $60.00 | $85.00 | $808.09 | |
United
| Facility | $28,768.00 | $46,929.00 | $46,929.00 | |
United
| Professional | $633.60 | $792.00 | $1,137.59 |