| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,500.00 | $5,519.00 | $8,622.00 | |
Cigna
| Facility | $4,214.76 | $4,214.76 | $4,226.60 | |
Moda Health
| Facility | $758.45 | $1,518.81 | $1,944.92 | |
Regence BlueShield
| Facility | $11,254.97 | $17,361.59 | $22,059.79 | |
United
| Facility | $2,600.00 | $11,800.00 | $29,092.00 |