| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15,241.10 | $29,158.00 | $59,241.20 | |
Cigna
| Facility | $44,569.42 | $44,569.42 | $47,354.18 | |
Moda Health
| Facility | $42,293.36 | $42,293.36 | $42,293.36 | |
Premera BCBS
| Facility | $7,500.00 | $17,224.73 | $27,556.80 | |
Providence
| Facility | $7,500.00 | $17,467.32 | $47,354.18 |