| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $311.02 | $7,838.38 | $7,838.38 | |
Aetna
| Professional | $304.95 | $311.02 | $323.55 | |
Molina
| Professional | $60.00 | $60.00 | $1,500.00 | |
Providence
| Facility | $405.00 | $405.00 | $405.00 | |
United
| Professional | $430.20 | $525.79 | $755.24 |