| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,466.84 | $5,495.41 | $5,495.41 | |
BCBS
| Facility | $3,019.95 | $3,388.44 | $4,073.80 | |
Moda Health
| Facility | $954.99 | $1,698.24 | $2,511.89 | |
United
| Facility | $3,715.35 | $15,488.17 | $26,302.68 |