| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,500.00 | $7,205.00 | $14,418.22 | |
Cigna
| Facility | $4,474.67 | $4,474.67 | $4,487.25 | |
Moda Health
| Facility | $920.15 | $1,745.37 | $2,460.39 | |
Regence BlueShield
| Facility | $6,662.17 | $14,097.25 | $17,807.80 | |
United
| Facility | $1,350.00 | $5,550.00 | $12,233.00 |