| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,677.35 | $11,481.54 | $28,183.83 | |
Aetna
| Professional | $1,174.90 | $1,174.90 | $1,412.54 | |
Molina
| Professional | $32.36 | $50.12 | $75.86 | |
United
| Facility | $501.19 | $1,071.52 | $6,165.95 |