| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $650.00 | $4,761.89 | $15,243.05 | |
Lucent Health
| Facility | $18,960.09 | $31,034.69 | $31,034.69 | |
Moda Health
| Facility | $2,920.00 | $2,920.00 | $2,920.00 | |
Providence
| Facility | $9,006.79 | $9,006.79 | $9,006.79 | |
United
| Facility | $8,465.60 | $8,465.60 | $8,948.71 |