| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,872.00 | $7,340.00 | $13,413.92 | |
Moda Health
| Facility | $793.94 | $3,285.08 | $6,949.66 | |
Providence
| Facility | $793.94 | $3,285.08 | $6,949.66 |
Corrj Hlx Vlgs Bncty Sesmdc Prox Metar Osteot
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,872.00 | $7,340.00 | $13,413.92 | |
Moda Health
| Facility | $793.94 | $3,285.08 | $6,949.66 | |
Providence
| Facility | $793.94 | $3,285.08 | $6,949.66 |