| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,413.83 | $8,303.41 | $13,413.92 | |
Moda Health
| Facility | $1,027.27 | $1,249.74 | $6,629.85 | |
Providence
| Facility | $1,249.74 | $1,249.74 | $6,629.85 | |
United
| Facility | $4,561.46 | $4,561.46 | $4,561.46 |