| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $241.71 | $241.71 | $241.71 | |
Molina
| Professional | $1.46 | $2.09 | $1,500.00 | |
Providence
| Facility | $19.66 | $19.66 | $112.68 | |
Providence
| Professional | $2,250,000.00 | $2,250,000.00 | $2,250,000.00 |