| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,500.00 | $8,622.00 | $12,885.61 | |
Cigna
| Facility | $4,644.79 | $4,644.79 | $4,657.85 | |
Moda Health
| Facility | $1,000.58 | $2,180.27 | $4,352.95 | |
Regence BlueShield
| Facility | $9,660.78 | $14,097.25 | $17,807.80 | |
United
| Facility | $2,100.00 | $10,120.00 | $27,159.00 |