| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $165.21 | $277.20 | $4,500.00 | |
Hally Health
| Professional | $440.66 | $440.66 | $514.42 | |
Moda Health
| Facility | $93.00 | $182.82 | $424.99 | |
United
| Facility | $1,800.00 | $8,244.00 | $9,193.00 |