| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,002.86 | $7,340.00 | $13,413.92 | |
Moda Health
| Facility | $359.14 | $1,616.94 | $2,263.71 | |
Providence
| Facility | $359.14 | $1,616.94 | $2,263.71 | |
United
| Facility | $6,359.06 | $6,359.06 | $6,359.06 |