| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,363.19 | $9,577.00 | $13,413.92 | |
Moda Health
| Facility | $465.03 | $2,059.69 | $2,945.37 | |
Providence
| Facility | $465.03 | $2,059.69 | $2,945.37 | |
United
| Facility | $6,897.94 | $6,897.94 | $6,897.94 |