| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $525.00 | $13,660.70 | $45,357.69 | |
Lucent Health
| Facility | $48,537.00 | $48,537.00 | $64,223.00 | |
Moda Health
| Facility | $19,130.06 | $19,130.06 | $19,130.06 | |
Providence
| Facility | $27,602.76 | $27,602.76 | $27,602.76 | |
United
| Facility | $12,000.00 | $23,189.00 | $34,322.00 |