| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $329.64 | $7,838.38 | $7,838.38 | |
Aetna
| Professional | $307.27 | $329.64 | $342.93 | |
Molina
| Professional | $60.00 | $85.00 | $527.60 | |
United
| Facility | $10,609.00 | $21,608.00 | $23,186.00 | |
United
| Professional | $414.04 | $498.74 | $743.40 |