| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $2,145.78 | $7,838.38 | |
Aetna
| Professional | $188.00 | $188.00 | $188.00 | |
Molina
| Professional | $60.00 | $60.00 | $85.00 | |
United
| Facility | $230.00 | $1,158.00 | $1,401.00 |