| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,412.54 | $4,466.84 | $5,495.41 | |
BCBS
| Facility | $588.84 | $588.84 | $616.60 | |
BCBS
| Facility | 50 | $891.25 | $891.25 | $933.25 |
Moda Health
| Facility | $114.82 | $467.74 | $5,495.41 | |
United
| Facility | $1,819.70 | $8,317.64 | $9,332.54 |