| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $414.53 | $837.54 | $10,265.60 | |
Aetna
| Professional | 50 | $98.88 | $148.32 | $846.24 |
Hally Health
| Professional | $719.17 | $719.17 | $1,119.54 | |
Moda Health
| Facility | $146.57 | $351.35 | $739.01 | |
United
| Facility | $1,800.00 | $8,244.00 | $9,193.00 |