| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $525.00 | $8,368.00 | $27,050.61 | |
Lucent Health
| Facility | $48,537.00 | $48,537.00 | $54,882.00 | |
Moda Health
| Facility | $60,275.15 | $60,275.15 | $60,275.15 | |
Providence
| Facility | $16,524.12 | $16,524.12 | $16,524.12 | |
United
| Facility | $11,188.00 | $16,866.08 | $30,544.00 |