| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $7,762.47 | $7,762.47 | |
Aetna
| Professional | $186.21 | $251.19 | $302.00 | |
Molina
| Professional | $50.12 | $60.26 | $2,137.96 | |
Providence
| Facility | $194.98 | $302.00 | $416.87 | |
United
| Facility | $891.25 | $11,220.18 | $19,054.61 | |
United
| Professional | $316.23 | $467.74 | $630.96 |