| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $691.83 | $1,621.81 | $5,495.41 | |
BCBS
| Facility | $707.95 | $1,584.89 | $3,162.28 | |
Moda Health
| Facility | $234.42 | $436.52 | $1,348.96 | |
United
| Facility | $151.36 | $1,819.70 | $9,332.54 |