| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,500.00 | $4,805.00 | $5,519.00 | |
Cigna
| Facility | $17,162.89 | $17,162.89 | $17,211.14 | |
Moda Health
| Facility | $1,386.03 | $2,620.63 | $3,529.63 | |
Regence BlueShield
| Facility | $26,480.16 | $46,554.36 | $73,028.60 | |
United
| Facility | $4,800.00 | $12,000.00 | $65,746.00 |