| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,500.00 | $5,519.00 | $7,761.00 | |
Cigna
| Facility | $4,214.76 | $4,214.76 | $4,226.60 | |
Moda Health
| Facility | $433.91 | $776.19 | $1,087.80 | |
Regence BlueShield
| Facility | $8,138.70 | $17,361.59 | $22,059.79 | |
United
| Facility | $1,500.00 | $9,360.00 | $17,870.00 |