| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13,175.40 | $13,175.40 | $13,175.40 | |
Cigna
| Facility | $39,653.33 | $52,424.46 | $54,767.58 | |
Moda Health
| Facility | $26,155.47 | $30,459.50 | $31,497.86 | |
Regence BlueShield
| Facility | $4,764.00 | $21,480.12 | $35,577.83 | |
United
| Facility | $15,301.38 | $19,463.59 | $28,172.81 |