| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,071.52 | $2,344.23 | $2,344.23 | |
Aetna
| Professional | $501.19 | $575.44 | $851.14 | |
Molina
| Professional | $954.99 | $1,096.48 | $1,513.56 | |
Providence
| Professional | $741.31 | $776.25 | $1,023.29 | |
United
| Professional | $295.12 | $295.12 | $426.58 |