| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $373.10 | $2,145.78 | $7,838.38 | |
Aetna
| Professional | $373.10 | $385.87 | $385.87 | |
Molina
| Professional | $60.00 | $85.00 | $980.31 | |
Providence
| Facility | $284.93 | $388.12 | $650.61 | |
United
| Facility | $230.00 | $1,158.00 | $1,401.00 | |
United
| Professional | $455.74 | $619.91 | $807.90 |