| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $783.63 | $7,838.38 | $7,838.38 | |
Aetna
| Professional | $769.08 | $783.63 | $815.18 | |
Molina
| Professional | $60.00 | $85.00 | $577.61 | |
United
| Facility | $10,609.00 | $21,608.00 | $23,186.00 | |
United
| Professional | $1,084.95 | $1,326.05 | $1,904.68 |