| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16,845.00 | $16,845.00 | $16,845.00 | |
Cigna
| Facility | $50,697.59 | $67,025.71 | $70,021.44 | |
Moda Health
| Facility | $32,624.80 | $37,993.40 | $39,721.54 | |
Regence BlueShield
| Facility | $4,764.00 | $23,683.92 | $39,228.01 | |
United
| Facility | $19,563.12 | $24,884.60 | $36,019.50 |