| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,043.03 | $3,212.30 | $3,212.30 | |
Molina
| Professional | $32.34 | $183.67 | $988.45 | |
Providence
| Facility | $731.85 | $1,061.03 | $1,074.61 | |
United
| Professional | $852.30 | $1,060.64 | $1,487.98 |