| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,897.00 | $4,500.00 | $7,761.00 | |
Aetna
| Professional | $4,500.00 | $4,500.00 | $7,761.00 | |
Molina
| Professional | $30.00 | $3,500.00 | $3,900.00 | |
United
| Facility | $10,606.00 | $11,004.00 | $13,715.00 |