| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,388.44 | $4,466.84 | $5,495.41 | |
BCBS
| Facility | $870.96 | $2,089.30 | $4,466.84 | |
Moda Health
| Facility | $97.72 | $512.86 | $4,466.84 | |
United
| Facility | $181.97 | $1,819.70 | $9,332.54 |