| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $391.04 | $7,838.38 | $7,838.38 | |
Aetna
| Professional | $297.82 | $391.04 | $406.79 | |
Molina
| Professional | $60.00 | $85.00 | $745.59 | |
United
| Facility | $10,609.00 | $21,608.00 | $23,186.00 | |
United
| Professional | $401.28 | $483.36 | $720.48 |