| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,422.00 | $4,500.00 | $8,622.00 | |
Cigna
| Facility | $17,042.08 | $17,042.08 | $17,089.99 | |
Moda Health
| Facility | $1,181.85 | $2,508.52 | $3,010.22 | |
Regence BlueShield
| Facility | $21,201.00 | $46,554.36 | $73,028.60 | |
United
| Facility | $2,600.00 | $11,800.00 | $29,092.00 |