| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $85.50 | $85.50 | $634.00 | |
Moda Health
| Facility | $85.50 | $85.50 | $247.95 | |
Providence
| Facility | $85.50 | $85.50 | $119.70 | |
Providence
| Professional | $1,800,000.00 | $2,250,000.00 | $2,400,000.00 |