| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,786.30 | $5,495.41 | $6,918.31 | |
BCBS
| Facility | $5,128.61 | $5,754.40 | $6,918.31 | |
Moda Health
| Facility | $1,412.54 | $2,187.76 | $4,265.80 | |
United
| Facility | $3,715.35 | $15,488.17 | $26,302.68 |