| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,234.60 | $2,234.60 | $2,234.60 | |
Aetna
| Professional | $233.56 | $233.56 | $2,234.60 | |
Moda Health
| Facility | $233.56 | $233.56 | $298.95 | |
Molina
| Professional | $30.00 | $30.00 | $55.00 |