| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19,079.20 | $19,968.30 | $27,238.07 | |
Aetna
| Professional | $14,126.71 | $15,821.91 | $19,968.30 | |
Cigna
| Professional | $16,087.50 | $16,087.50 | $16,087.50 | |
Moda Health
| Facility | $15,821.91 | $15,821.91 | $20,252.04 | |
Regence BlueShield
| Facility | $33,751.42 | $47,933.77 | $58,728.55 |