| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $52.61 | $559.27 | $620.90 | |
Molina
| Professional | $32.34 | $85.00 | $126.86 | |
Providence
| Facility | $51.60 | $594.66 | $643.22 | |
United
| Professional | $44.17 | $70.56 | $101.34 |