| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,236.00 | $9,813.00 | $14,552.94 | |
Moda Health
| Facility | $604.78 | $3,174.07 | $4,443.70 | |
Providence
| Facility | $604.78 | $3,174.07 | $4,443.70 | |
United
| Facility | $7,058.12 | $7,058.12 | $7,058.12 |