| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $7,838.38 | $7,838.38 | |
Aetna
| Professional | $1,875.00 | $1,875.00 | $1,875.00 | |
Molina
| Professional | $85.00 | $384.60 | $1,500.00 | |
United
| Facility | $3,085.00 | $3,503.00 | $15,732.00 |