| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,466.84 | $5,495.41 | $5,495.41 | |
BCBS
| Facility | $2,630.27 | $3,388.44 | $5,248.07 | |
Moda Health
| Facility | $891.25 | $1,445.44 | $2,754.23 | |
United
| Facility | $676.08 | $3,715.35 | $26,302.68 |