| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,365.16 | $5,495.41 | $12,022.64 | |
BCBS
| Facility | $2,951.21 | $3,311.31 | $6,309.57 | |
Moda Health
| Facility | $1,318.26 | $2,454.71 | $7,943.28 | |
United
| Facility | $3,715.35 | $15,488.17 | $26,302.68 |