| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $5,365.00 | $7,838.38 | |
Aetna
| Professional | $544.41 | $566.34 | $566.85 | |
Molina
| Professional | $60.00 | $85.00 | $746.08 | |
United
| Facility | $10,609.00 | $21,608.00 | $23,186.00 | |
United
| Professional | $712.59 | $959.57 | $1,403.83 |