| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,418.69 | $9,774.00 | $14,552.94 | |
Moda Health
| Facility | $1,018.25 | $1,227.59 | $6,643.19 | |
Providence
| Facility | $1,227.59 | $1,227.59 | $6,643.19 | |
United
| Facility | $4,561.46 | $4,561.46 | $4,561.46 |