| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,897.00 | $5,519.00 | $11,010.22 | |
Cigna
| Facility | $5,687.16 | $5,687.16 | $5,703.15 | |
Moda Health
| Facility | $634.03 | $1,169.11 | $1,597.69 | |
Regence BlueShield
| Facility | $12,896.50 | $17,361.59 | $22,059.79 | |
United
| Facility | $2,600.00 | $11,800.00 | $29,092.00 |