| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $524.81 | $4,786.30 | $9,549.93 | |
BCBS
| Facility | $1,380.38 | $5,370.32 | $9,549.93 | |
BCBS
| Facility | 50 | $2,089.30 | $8,317.64 | $14,454.40 |
Moda Health
| Facility | $194.98 | $354.81 | $4,466.84 | |
United
| Facility | $151.36 | $1,819.70 | $9,332.54 |