| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $73.84 | $2,145.78 | $7,838.38 | |
Aetna
| Professional | $72.39 | $76.26 | $116.60 | |
Molina
| Professional | $60.00 | $85.00 | $116.24 | |
Providence
| Facility | $28.21 | $71.34 | $116.60 | |
United
| Facility | $230.00 | $1,158.00 | $1,401.00 | |
United
| Professional | $92.94 | $118.05 | $179.32 |