| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $51.88 | $80.64 | $256.79 | |
Molina
| Professional | $50.00 | $60.00 | $1,500.00 | |
Providence
| Facility | $81.99 | $97.81 | $256.79 | |
United
| Professional | $88.31 | $130.00 | $182.97 |