| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,495.41 | $16,218.10 | $16,218.10 | |
BCBS
| Facility | $7,762.47 | $8,511.38 | $10,232.93 | |
BCBS
| Facility | 50 | $11,748.98 | $12,589.25 | $15,488.17 |
Moda Health
| Facility | $2,344.23 | $4,466.84 | $7,413.10 | |
United
| Facility | $3,715.35 | $15,488.17 | $26,302.68 |