| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,331.23 | $1,331.23 | $1,331.23 | |
Moda Health
| Facility | $281.70 | $338.05 | $411.50 | |
Providence
| Facility | $289.89 | $342.33 | $410.80 | |
United
| Professional | $666.46 | $999.69 | $2,175.98 |