| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,741.00 | $10,480.00 | $13,413.92 | |
Moda Health
| Facility | $809.23 | $3,240.66 | $4,634.14 | |
Providence
| Facility | $809.23 | $3,240.66 | $4,634.14 |
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| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,741.00 | $10,480.00 | $13,413.92 | |
Moda Health
| Facility | $809.23 | $3,240.66 | $4,634.14 | |
Providence
| Facility | $809.23 | $3,240.66 | $4,634.14 |