| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.14 | $63.14 | $63.14 | |
Aetna
| Professional | $56.24 | $63.14 | $66.59 | |
Molina
| Professional | $60.00 | $85.00 | $101.03 | |
United
| Facility | $3,085.00 | $4,262.00 | $17,636.00 | |
United
| Professional | $72.16 | $90.20 | $129.57 |