| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15,848.93 | $23,442.29 | $48,977.88 | |
Cigna
| Facility | $34,673.69 | $34,673.69 | $37,153.52 | |
Moda Health
| Facility | $16,218.10 | $16,218.10 | $16,218.10 | |
Premera BCBS
| Facility | $7,762.47 | $13,489.63 | $21,877.62 | |
Providence
| Facility | $34,673.69 | $34,673.69 | $37,153.52 |