| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,744.00 | $3,592.00 | $5,743.00 | |
Aetna
| Professional | $1,539.00 | $2,843.00 | $4,387.00 | |
Molina
| Professional | $30.00 | $45.00 | $80.00 | |
United
| Facility | $1,680.00 | $4,912.00 | $15,824.00 |