| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,500.00 | $4,805.00 | $5,519.00 | |
Cigna
| Facility | $17,559.97 | $17,559.97 | $17,609.33 | |
Moda Health
| Facility | $1,110.71 | $2,116.51 | $2,804.03 | |
Regence BlueShield
| Facility | $26,480.16 | $46,554.36 | $73,028.60 | |
United
| Facility | $4,800.00 | $12,000.00 | $65,746.00 |