| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $389.68 | $7,838.38 | $7,838.38 | |
Aetna
| Professional | $382.41 | $389.68 | $405.37 | |
Molina
| Professional | $60.00 | $85.00 | $503.62 | |
United
| Facility | $10,609.00 | $21,608.00 | $23,186.00 | |
United
| Professional | $527.55 | $659.44 | $947.22 |