| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,466.84 | $5,495.41 | $5,495.41 | |
BCBS
| Facility | $851.14 | $954.99 | $1,348.96 | |
Moda Health
| Facility | $218.78 | $691.83 | $5,495.41 | |
United
| Facility | $3,715.35 | $15,488.17 | $26,302.68 |