| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12,882.50 | $18,620.87 | $38,904.51 | |
Cigna
| Facility | $27,542.29 | $27,542.29 | $29,512.09 | |
Moda Health
| Facility | $13,182.57 | $13,182.57 | $13,182.57 | |
Premera BCBS
| Facility | $6,165.95 | $10,715.19 | $18,197.01 | |
Providence
| Facility | $27,542.29 | $27,542.29 | $29,512.09 |