| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.47 | $23.41 | $31.74 | |
Molina
| Professional | $45.00 | $60.00 | $85.00 | |
Providence
| Facility | $21.82 | $31.29 | $40.24 | |
Providence
| Professional | $1,800,000.00 | $2,250,000.00 | $2,400,000.00 |