| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $240.00 | $240.00 | $240.00 | |
Moda Health
| Facility | $240.00 | $336.00 | $343.20 | |
Providence
| Facility | $240.00 | $336.00 | $343.20 | |
United
| Professional | $506.80 | $760.20 | $1,165.64 |