| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17,378.01 | $25,703.96 | $53,703.18 | |
Cigna
| Facility | $38,018.94 | $38,018.94 | $40,738.03 | |
Moda Health
| Facility | $17,782.79 | $17,782.79 | $17,782.79 | |
Premera BCBS
| Facility | $8,511.38 | $14,791.08 | $24,547.09 | |
Providence
| Facility | $38,018.94 | $38,018.94 | $40,738.03 |