| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,466.84 | $5,495.41 | $5,495.41 | |
BCBS
| Facility | $5,128.61 | $5,623.41 | $6,760.83 | |
BCBS
| Facility | 50 | $7,762.47 | $8,317.64 | $10,000.00 |
Moda Health
| Facility | $1,548.82 | $2,951.21 | $4,466.84 | |
United
| Facility | $3,715.35 | $15,488.17 | $26,302.68 |