| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $7,762.47 | $7,762.47 | |
Aetna
| Professional | $131.83 | $131.83 | $416.87 | |
Molina
| Professional | $60.26 | $70.79 | $380.19 | |
United
| Facility | $416.87 | $2,511.89 | $2,884.03 |