| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23,988.33 | $34,673.69 | $72,443.60 | |
Cigna
| Facility | $51,286.14 | $51,286.14 | $54,954.09 | |
Moda Health
| Facility | $23,988.33 | $23,988.33 | $23,988.33 | |
Premera BCBS
| Facility | $11,481.54 | $19,952.62 | $32,359.37 | |
Providence
| Facility | $51,286.14 | $51,286.14 | $54,954.09 |