| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18,197.01 | $26,302.68 | $54,954.09 | |
Cigna
| Facility | $38,904.51 | $38,904.51 | $41,686.94 | |
Moda Health
| Facility | $18,620.87 | $18,620.87 | $18,620.87 | |
Premera BCBS
| Facility | $8,709.64 | $15,135.61 | $24,547.09 | |
Providence
| Facility | $38,904.51 | $38,904.51 | $41,686.94 |