| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $525.00 | $5,029.70 | $15,369.63 | |
Lucent Health
| Facility | $6,129.00 | $6,129.00 | $6,129.00 | |
Moda Health
| Facility | $12,504.72 | $21,951.00 | $78,973.23 | |
Providence
| Facility | $8,783.24 | $8,783.24 | $8,783.24 | |
United
| Facility | $10,134.08 | $10,134.08 | $38,000.00 |