| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,122.02 | $2,454.71 | $2,454.71 | |
Aetna
| Professional | $524.81 | $602.56 | $891.25 | |
Molina
| Professional | $1,000.00 | $1,148.15 | $1,584.89 | |
Providence
| Professional | $776.25 | $812.83 | $1,071.52 | |
United
| Professional | $309.03 | $309.03 | $446.68 |