| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $314.61 | $7,838.38 | $7,838.38 | |
Aetna
| Professional | $308.79 | $314.61 | $327.27 | |
Molina
| Professional | $60.00 | $60.00 | $1,500.00 | |
Providence
| Facility | $410.02 | $410.02 | $410.02 | |
United
| Facility | $3,085.00 | $4,262.00 | $17,636.00 | |
United
| Professional | $440.24 | $532.40 | $764.71 |