| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.62 | $16.92 | $19.82 | |
Molina
| Professional | $60.00 | $60.00 | $85.00 | |
Providence
| Facility | $11.10 | $27.48 | $36.81 | |
Providence
| Professional | $1,800,000.00 | $2,250,000.00 | $2,400,000.00 |