| 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 | $12,000.00 | $24,599.00 | $65,746.00 |