| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9,949.28 | $19,034.20 | $38,672.30 | |
Cigna
| Facility | $29,094.65 | $29,094.65 | $30,912.53 | |
Moda Health
| Facility | $62,192.20 | $62,192.20 | $62,192.20 | |
Premera BCBS
| Facility | $7,500.00 | $11,244.21 | $17,788.15 | |
Providence
| Facility | $7,500.00 | $11,275.31 | $30,912.53 |