| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,500.00 | $4,500.00 | $5,519.00 | |
Aetna
| Professional | $258.36 | $276.27 | $458.00 | |
Moda Health
| Facility | $198.48 | $307.13 | $586.24 | |
Molina
| Professional | $30.00 | $3,500.00 | $3,900.00 |