| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $245.70 | $2,145.78 | $7,838.38 | |
Aetna
| Professional | $241.12 | $254.09 | $388.42 | |
Molina
| Professional | $60.00 | $85.00 | $387.45 | |
Providence
| Facility | $94.04 | $237.84 | $388.42 | |
United
| Facility | $1,035.00 | $15,131.00 | $21,396.00 | |
United
| Professional | $309.95 | $393.12 | $544.32 |