| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $340.26 | $429.54 | $5,135.25 | |
BCBS
| Facility | $1,887.00 | $4,410.41 | $6,804.32 | |
Lucent Health
| Facility | $55.00 | $55.00 | $6,199.92 | |
Moda Health
| Facility | $290.08 | $1,249.72 | $6,222.53 | |
Providence
| Facility | $283.55 | $2,777.70 | $6,563.65 |