| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $70.64 | $936.00 | $1,831.00 | |
Aetna
| Professional | $48.26 | $63.00 | $89.71 | |
Molina
| Professional | $42.50 | $42.50 | $50.00 | |
United
| Facility | $225.00 | $513.00 | $1,739.00 | |
United
| Professional | $69.63 | $104.04 | $199.65 |