| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,801.89 | $19,054.61 | $28,840.32 | |
BCBS
| Facility | $2,691.53 | $3,890.45 | $5,754.40 | |
Moda Health
| Facility | $1,122.02 | $1,819.70 | $19,054.61 | |
United
| Facility | $11,748.98 | $26,915.35 | $29,512.09 |