| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $525.00 | $7,495.53 | $23,532.88 | |
Lucent Health
| Facility | $12,278.00 | $12,278.00 | $12,278.00 | |
Moda Health
| Facility | $13,136.17 | $23,481.53 | $31,322.04 | |
Providence
| Facility | $17,181.00 | $17,181.00 | $17,181.00 | |
United
| Facility | $15,101.68 | $15,101.68 | $38,000.00 |