| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,038.00 | $5,743.00 | $11,722.00 | |
Aetna
| Professional | $2,843.00 | $2,843.00 | $8,955.00 | |
Molina
| Professional | $30.00 | $45.00 | $80.00 | |
United
| Facility | $2,312.00 | $2,446.00 | $13,847.00 |