| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,095.00 | $7,838.38 | $8,644.27 | |
Aetna
| Professional | $20,119.00 | $20,119.00 | $20,119.00 | |
Molina
| Professional | $60.00 | $60.00 | $85.00 | |
United
| Facility | $4,834.00 | $6,599.00 | $7,158.00 |