| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $5,000.27 | $7,838.38 | |
Aetna
| Professional | $2,988.00 | $2,988.00 | $2,988.00 | |
Molina
| Professional | $60.00 | $60.00 | $1,295.36 | |
United
| Facility | $559.00 | $3,503.00 | $5,060.00 |