| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,570.40 | $5,495.41 | $5,495.41 | |
BCBS
| Facility | $1,174.90 | $1,479.11 | $4,168.69 | |
Moda Health
| Facility | $316.23 | $512.86 | $851.14 | |
United
| Facility | $2,570.40 | $11,748.98 | $29,512.09 |