| 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 | $1,245.78 | $1,245.78 | $1,265.13 | |
Moda Health
| Facility | $175.00 | $498.63 | $1,679.47 | |
United
| Facility | $1,800.00 | $8,244.00 | $9,193.00 |