| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $371.54 | $371.54 | $645.65 | |
Moda Health
| Facility | $371.54 | $371.54 | $724.44 | |
Moda Health
| Professional | $60.26 | $371.54 | $8,709.64 | |
Providence
| Facility | $371.54 | $426.58 | $1,071.52 | |
Providence
| Professional | $60.26 | $60.26 | $60.26 |