| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,466.84 | $5,495.41 | $5,495.41 | |
BCBS
| Facility | $933.25 | $1,023.29 | $1,445.44 | |
Moda Health
| Facility | $309.03 | $489.78 | $1,096.48 | |
United
| Facility | $10,715.19 | $11,220.18 | $13,803.84 |