| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15,125.50 | $28,936.90 | $58,791.90 | |
Cigna
| Facility | $44,231.43 | $44,231.43 | $46,995.08 | |
Moda Health
| Facility | $32,907.40 | $32,907.40 | $32,907.40 | |
Premera BCBS
| Facility | $7,500.00 | $17,094.11 | $27,166.74 | |
Providence
| Facility | $7,500.00 | $17,220.07 | $46,995.08 |