| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,659.59 | $7,943.28 | $8,128.31 | |
BCBS
| Facility | $1,862.09 | $6,025.60 | $12,882.50 | |
Moda Health
| Facility | $588.84 | $1,023.29 | $8,128.31 | |
United
| Facility | $12,882.50 | $66,069.34 | $70,794.58 |