| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,089.30 | $7,762.47 | $8,912.51 | |
Aetna
| Professional | $676.08 | $1,023.29 | $1,348.96 | |
Molina
| Professional | $60.26 | $85.11 | $2,454.71 | |
Providence
| Facility | $316.23 | $1,230.27 | $2,187.76 | |
United
| Facility | $794.33 | $9,120.11 | $24,547.09 | |
United
| Professional | $1,318.26 | $1,905.46 | $2,511.89 |