| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12,882.50 | $19,054.61 | $39,810.72 | |
Cigna
| Facility | $28,183.83 | $28,183.83 | $30,199.52 | |
Moda Health
| Facility | $13,182.57 | $13,182.57 | $13,182.57 | |
Premera BCBS
| Facility | $6,309.57 | $10,964.78 | $16,982.44 | |
Providence
| Facility | $28,183.83 | $28,183.83 | $30,199.52 |