| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8,960.00 | $11,550.00 | $20,498.00 | |
Aetna
| Professional | $1,100.00 | $3,200.00 | $14,691.00 | |
Cigna
| Facility | $890.00 | $890.00 | $890.00 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Facility | $729.00 | $6,107.00 | $8,818.00 |