| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,026.00 | $1,026.00 | $1,026.00 | |
Cigna
| Facility | $898.00 | $1,061.00 | $1,181.00 | |
Moda Health
| Facility | $850.00 | $850.00 | $850.00 | |
Regence BlueShield
| Facility | $660.00 | $660.00 | $660.00 |