| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $7,762.47 | $7,762.47 | |
Aetna
| Professional | $48.98 | $61.66 | $208.93 | |
Molina
| Professional | $60.26 | $85.11 | $2,137.96 | |
Providence
| Facility | $13.49 | $81.28 | $141.25 | |
United
| Facility | $891.25 | $11,220.18 | $19,054.61 | |
United
| Professional | $32.36 | $44.67 | $114.82 |