| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,930.99 | $4,022.89 | $7,723.95 | |
Aetna
| Professional | $1,930.99 | $3,218.31 | $3,218.31 | |
Molina
| Professional | $3,990.71 | $4,196.68 | $4,196.68 | |
Providence
| Facility | $3,244.06 | $3,244.06 | $3,244.06 | |
Providence
| Professional | $2,716.26 | $2,716.26 | $3,089.58 | |
United
| Professional | $1,081.34 | $1,081.34 | $1,544.79 |