| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $35.00 | $35.00 | $35.00 | |
Moda Health
| Facility | $35.00 | $35.00 | $101.50 | |
Providence
| Facility | $35.00 | $35.00 | $101.50 | |
Providence
| Professional | $0.37 | $0.37 | $1,800,000.00 |