| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $7,762.47 | $7,762.47 | |
Aetna
| Professional | $251.19 | $478.63 | $575.44 | |
Molina
| Professional | $50.12 | $60.26 | $85.11 | |
Providence
| Facility | $251.19 | $398.11 | $575.44 | |
United
| Facility | $562.34 | $5,011.87 | $17,782.79 | |
United
| Professional | $457.09 | $741.31 | $1,071.52 |