| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,466.84 | $5,495.41 | $5,495.41 | |
BCBS
| Facility | $1,047.13 | $1,174.90 | $1,412.54 | |
Moda Health
| Facility | $331.13 | $616.60 | $1,023.29 | |
United
| Facility | $3,715.35 | $15,488.17 | $26,302.68 |