| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,500.00 | $4,500.00 | $5,519.00 | |
Moda Health
| Facility | $1,850.31 | $2,626.45 | $3,683.10 | |
United
| Facility | $3,700.00 | $15,298.00 | $26,104.00 |
Strtctc Impltj Nstim Eltrd W/O Record 1st Array
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,500.00 | $4,500.00 | $5,519.00 | |
Moda Health
| Facility | $1,850.31 | $2,626.45 | $3,683.10 | |
United
| Facility | $3,700.00 | $15,298.00 | $26,104.00 |