| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $525.00 | $8,978.06 | $28,512.74 | |
Lucent Health
| Facility | $48,537.00 | $48,537.00 | $67,143.00 | |
Moda Health
| Facility | $24,078.42 | $49,801.51 | $114,332.25 | |
Providence
| Facility | $18,318.12 | $18,318.12 | $18,318.12 | |
United
| Facility | $10,115.00 | $19,468.00 | $34,828.00 |