| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,344.23 | $10,000.00 | $16,982.44 | |
Aetna
| Professional | $2,344.23 | $14,125.38 | $16,982.44 | |
Cigna
| Professional | $10,000.00 | $10,000.00 | $10,000.00 | |
Moda Health
| Professional | $15,488.17 | $15,488.17 | $15,488.17 |