| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $2,145.78 | $7,838.38 | |
Aetna
| Professional | $251.99 | $265.18 | $266.80 | |
Molina
| Professional | $60.00 | $85.00 | $1,500.00 | |
Providence
| Facility | $334.64 | $334.64 | $334.64 | |
United
| Facility | $775.00 | $1,327.00 | $1,327.00 | |
United
| Professional | $359.30 | $434.50 | $624.10 |