| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $7,762.47 | $7,762.47 | |
Aetna
| Professional | $128.82 | $158.49 | $190.55 | |
Molina
| Professional | $60.26 | $85.11 | $2,137.96 | |
Providence
| Facility | $83.18 | $257.04 | $363.08 | |
United
| Facility | $891.25 | $11,220.18 | $19,054.61 | |
United
| Professional | $181.97 | $234.42 | $346.74 |