| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,311.31 | $8,912.51 | $14,791.08 | |
Aetna
| Professional | $977.24 | $1,380.38 | $1,778.28 | |
Molina
| Professional | $60.26 | $60.26 | $85.11 | |
Providence
| Facility | $1,258.93 | $1,258.93 | $2,818.38 | |
United
| Facility | $1,023.29 | $15,135.61 | $24,547.09 | |
United
| Professional | $1,513.56 | $1,995.26 | $2,754.23 |