| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,872.00 | $8,303.41 | $13,413.92 | |
Moda Health
| Facility | $486.56 | $2,466.38 | $3,452.93 | |
Providence
| Facility | $486.56 | $2,466.38 | $3,452.93 |
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| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,872.00 | $8,303.41 | $13,413.92 | |
Moda Health
| Facility | $486.56 | $2,466.38 | $3,452.93 | |
Providence
| Facility | $486.56 | $2,466.38 | $3,452.93 |