| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,677.35 | $16,218.10 | $23,988.33 | |
Aetna
| Professional | $851.14 | $3,090.30 | $4,677.35 | |
Cigna
| Facility | $707.95 | $758.58 | $870.96 | |
Molina
| Professional | $44.67 | $50.12 | $64.57 | |
United
| Facility | $707.95 | $1,318.26 | $5,754.40 | |
Wellpoint
| Professional | $1,445.44 | $1,445.44 | $1,445.44 |