| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,544.00 | $7,838.38 | $8,763.29 | |
Aetna
| Professional | $1,814.10 | $1,902.39 | $1,978.99 | |
Molina
| Professional | $60.00 | $85.00 | $2,415.09 | |
United
| Facility | $6,602.00 | $9,127.00 | $10,150.00 | |
United
| Professional | $2,500.19 | $3,000.24 | $4,389.25 |