| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $77.63 | $7,838.38 | $7,838.38 | |
Aetna
| Professional | $76.30 | $77.63 | $81.87 | |
Molina
| Professional | $60.00 | $60.00 | $3,980.33 | |
United
| Facility | $3,085.00 | $4,262.00 | $17,636.00 | |
United
| Professional | $105.75 | $124.54 | $169.20 |