| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,569.20 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $2,262.92 | $12,009.78 | $16,813.68 | |
Providence
| Facility | $2,262.92 | $12,009.78 | $16,813.68 |
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| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,569.20 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $2,262.92 | $12,009.78 | $16,813.68 | |
Providence
| Facility | $2,262.92 | $12,009.78 | $16,813.68 |