| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,412.54 | $4,466.84 | $5,495.41 | |
BCBS
| Facility | $870.96 | $2,187.76 | $16,595.87 | |
Moda Health
| Facility | $275.42 | $1,412.54 | $5,754.40 | |
United
| Facility | $11,748.98 | $39,810.72 | $67,608.30 |