| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $775.72 | $1,021.93 | $2,313.10 | |
BCBS
| Facility | $3,706.03 | $6,559.01 | $12,652.54 | |
Lucent Health
| Facility | $4,470.60 | $26,542.00 | $26,542.00 | |
Moda Health
| Facility | $690.93 | $1,604.45 | $4,248.09 | |
Providence
| Facility | $698.70 | $1,600.13 | $4,248.09 |