| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,327.24 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $2,668.98 | $10,452.48 | $14,947.05 | |
Providence
| Facility | $2,668.98 | $10,452.48 | $14,947.05 |
Strtctc Impltj Nstim Eltrd W/Record 1st Array
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,327.24 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $2,668.98 | $10,452.48 | $14,947.05 | |
Providence
| Facility | $2,668.98 | $10,452.48 | $14,947.05 |