| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,047.13 | $2,290.87 | $2,290.87 | |
Aetna
| Professional | $489.78 | $562.34 | $831.76 | |
Molina
| Professional | $954.99 | $1,096.48 | $1,513.56 | |
Providence
| Professional | $741.31 | $776.25 | $1,000.00 | |
United
| Professional | $295.12 | $295.12 | $416.87 |