| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,169.76 | $5,519.00 | $12,577.15 | |
Cigna
| Facility | $5,483.16 | $5,483.16 | $5,498.58 | |
Moda Health
| Facility | $549.51 | $1,050.90 | $1,403.72 | |
Regence BlueShield
| Facility | $10,951.56 | $17,361.59 | $22,059.79 | |
United
| Facility | $2,600.00 | $11,800.00 | $29,092.00 |