| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,270.00 | $6,270.00 | $6,270.00 | |
Cigna
| Facility | $18,870.56 | $24,948.19 | $26,063.25 | |
Moda Health
| Facility | $12,864.01 | $14,160.15 | $16,490.29 | |
Regence BlueShield
| Facility | $2,108.00 | $8,450.43 | $13,996.57 | |
United
| Facility | $7,281.75 | $9,262.50 | $13,407.11 |