| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $999.03 | $999.03 | $999.03 | |
Molina
| Professional | $60.00 | $85.00 | $1,500.00 | |
Providence
| Facility | $999.03 | $999.03 | $999.03 | |
Providence
| Professional | $2,400,000.00 | $2,400,000.00 | $2,400,000.00 |