| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20,417.38 | $30,199.52 | $61,659.50 | |
Cigna
| Facility | $44,668.36 | $44,668.36 | $46,773.51 | |
Moda Health
| Facility | $20,892.96 | $20,892.96 | $20,892.96 | |
Premera BCBS
| Facility | $9,772.37 | $16,982.44 | $26,302.68 | |
Providence
| Facility | $44,668.36 | $44,668.36 | $46,773.51 |