| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,000.00 | $4,500.00 | $5,519.00 | |
Aetna
| Professional | $4,000.00 | $4,000.00 | $4,500.00 | |
Molina
| Professional | $30.00 | $3,500.00 | $3,900.00 | |
United
| Facility | $3,700.00 | $15,298.00 | $26,104.00 |