| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $890.77 | $2,158.73 | $2,510.71 | |
Aetna
| Professional | $531.89 | $531.89 | $531.89 | |
Moda Health
| Facility | $531.89 | $531.89 | $760.60 | |
Providence
| Facility | $531.89 | $531.89 | $760.60 | |
Providence
| Professional | $2,250,000.00 | $2,250,000.00 | $2,400,000.00 |