| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,095.00 | $7,838.38 | $8,942.39 | |
Aetna
| Professional | $24,919.00 | $24,919.00 | $24,919.00 | |
Molina
| Professional | $60.00 | $60.00 | $85.00 | |
United
| Facility | $6,602.00 | $9,127.00 | $11,259.00 |