| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,466.84 | $5,495.41 | $5,495.41 | |
BCBS
| Facility | $2,884.03 | $3,162.28 | $3,801.89 | |
Moda Health
| Facility | $794.33 | $1,230.27 | $2,398.83 | |
United
| Facility | $5,495.41 | $12,302.69 | $12,302.69 |