| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,407.00 | $4,500.00 | $7,045.00 | |
Hally Health
| Professional | $190.78 | $190.78 | $222.72 | |
Moda Health
| Facility | $48.63 | $130.81 | $302.14 | |
United
| Facility | $1,800.00 | $8,244.00 | $9,193.00 |