| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $73.73 | $950.00 | $2,825.00 | |
Aetna
| Professional | $50.00 | $64.89 | $93.65 | |
Molina
| Professional | $42.50 | $50.00 | $80.00 | |
United
| Facility | $134.54 | $134.54 | $134.54 | |
United
| Professional | $63.02 | $80.89 | $173.84 |