| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $305.95 | $2,145.78 | $7,838.38 | |
Aetna
| Professional | $212.05 | $244.76 | $250.48 | |
Molina
| Professional | $50.00 | $85.00 | $1,500.00 | |
Providence
| Facility | $68.78 | $212.05 | $327.80 | |
United
| Professional | $187.35 | $198.65 | $437.33 |