| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,500.00 | $16,243.71 | $16,243.71 | |
Moda Health
| Facility | $2,780.39 | $3,982.87 | $5,556.11 | |
United
| Facility | $3,700.00 | $15,298.00 | $26,104.00 |
Strtctc Impltj Nstim Eltrd W/Record 1st Array
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,500.00 | $16,243.71 | $16,243.71 | |
Moda Health
| Facility | $2,780.39 | $3,982.87 | $5,556.11 | |
United
| Facility | $3,700.00 | $15,298.00 | $26,104.00 |