| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,466.84 | $5,495.41 | $5,495.41 | |
BCBS
| Facility | $371.54 | $537.03 | $660.69 | |
Moda Health
| Facility | $144.54 | $218.78 | $416.87 | |
United
| Facility | $3,715.35 | $15,488.17 | $26,302.68 |