| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,897.00 | $4,500.00 | $7,761.00 | |
Moda Health
| Facility | $127.43 | $266.80 | $325.75 | |
United
| Facility | $150.00 | $1,800.00 | $9,193.00 |
Prtl Exc Pst Vrt Intrnsc B1y Les 1 Vrt Sgm Ea
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,897.00 | $4,500.00 | $7,761.00 | |
Moda Health
| Facility | $127.43 | $266.80 | $325.75 | |
United
| Facility | $150.00 | $1,800.00 | $9,193.00 |