| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,042.33 | $5,365.00 | $7,838.38 | |
Aetna
| Professional | $1,013.48 | $1,042.33 | $1,084.30 | |
Molina
| Professional | $60.00 | $60.00 | $1,500.00 | |
United
| Facility | $10,609.00 | $21,608.00 | $23,186.00 | |
United
| Professional | $1,411.08 | $1,763.83 | $2,533.54 |