| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $769.34 | $4,500.00 | $17,398.84 | |
Cigna
| Facility | $4,214.76 | $4,214.76 | $4,226.60 | |
Moda Health
| Facility | $459.15 | $937.41 | $1,169.65 | |
Regence BlueShield
| Facility | $8,138.70 | $17,361.59 | $22,059.79 | |
United
| Facility | $1,350.00 | $5,550.00 | $12,233.00 |