| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,500.00 | $8,622.00 | $12,327.76 | |
Cigna
| Facility | $5,588.26 | $5,588.26 | $5,603.97 | |
Moda Health
| Facility | $768.21 | $1,554.93 | $1,927.62 | |
Regence BlueShield
| Facility | $10,951.56 | $17,361.59 | $22,059.79 | |
United
| Facility | $2,600.00 | $11,800.00 | $29,092.00 |