| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,762.01 | $7,838.38 | $14,860.56 | |
Aetna
| Professional | $1,713.19 | $1,762.01 | $1,832.95 | |
Molina
| Professional | $60.00 | $60.00 | $2,823.68 | |
United
| Facility | $3,085.00 | $4,262.00 | $17,636.00 | |
United
| Professional | $2,385.23 | $2,981.54 | $4,282.60 |