| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.39 | $7,838.38 | $7,838.38 | |
Aetna
| Professional | $13.60 | $63.55 | $63.86 | |
Molina
| Professional | $60.00 | $85.00 | $1,500.00 | |
Providence
| Facility | $13.60 | $13.60 | $13.60 | |
United
| Facility | $7,315.00 | $11,259.00 | $12,494.00 | |
United
| Professional | $32.78 | $48.81 | $116.12 |