| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $245.77 | $7,838.38 | $7,838.38 | |
Aetna
| Professional | $243.21 | $272.68 | $500.98 | |
Molina
| Professional | $60.00 | $126.42 | $1,500.00 | |
Providence
| Facility | $435.55 | $655.24 | $817.85 |