| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,626.00 | $4,500.00 | $12,538.80 | |
Cigna
| Facility | $5,363.52 | $5,363.52 | $5,378.60 | |
Moda Health
| Facility | $654.08 | $1,222.44 | $1,587.56 | |
Regence BlueShield
| Facility | $10,951.56 | $17,361.59 | $22,059.79 | |
United
| Facility | $2,600.00 | $11,800.00 | $29,092.00 |