| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,038.00 | $5,743.00 | $8,659.00 | |
Aetna
| Professional | $1,820.00 | $2,843.00 | $7,511.00 | |
Molina
| Professional | $45.00 | $45.00 | $60.00 | |
United
| Facility | $3,340.00 | $10,927.00 | $24,613.00 |