| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.47 | $22.47 | $31.65 | |
Molina
| Professional | $26.34 | $41.40 | $85.00 | |
Providence
| Facility | $21.35 | $30.51 | $38.45 | |
Providence
| Professional | $1,800,000.00 | $2,250,000.00 | $2,400,000.00 |