| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $7,838.38 | $8,942.39 | |
Aetna
| Professional | $545.05 | $566.82 | $589.64 | |
Molina
| Professional | $60.00 | $85.00 | $873.34 | |
United
| Facility | $28,768.00 | $46,929.00 | $46,929.00 | |
United
| Professional | $730.85 | $913.55 | $1,312.19 |