| 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 | $399.66 | $1,477.35 | $2,112.61 | |
Providence
| Facility | $399.66 | $1,477.35 | $2,112.61 | |
United
| Facility | $6,897.94 | $6,897.94 | $6,897.94 |