| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14,482.00 | $14,482.00 | $17,823.00 | |
Medica
| Facility | $1,100.00 | $1,449.00 | $2,090.40 | |
Molina
| Professional | $50.00 | $58.40 | $70.00 | |
United
| Facility | $1,034.00 | $1,423.00 | $2,202.90 |