| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $520.00 | $23,163.57 | $78,991.16 | |
Lucent Health
| Facility | $48,537.00 | $128,447.00 | $128,447.00 | |
Moda Health
| Facility | $132,045.94 | $132,045.94 | $132,045.94 | |
Providence
| Facility | $52,996.60 | $52,996.60 | $52,996.60 | |
United
| Facility | $26,215.00 | $54,887.00 | $79,349.00 |