| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35,481.34 | $52,480.75 | $109,647.82 | |
Cigna
| Facility | $77,624.71 | $77,624.71 | $83,176.38 | |
Moda Health
| Facility | $36,307.81 | $36,307.81 | $36,307.81 | |
Premera BCBS
| Facility | $17,378.01 | $30,199.52 | $46,773.51 | |
Providence
| Facility | $77,624.71 | $77,624.71 | $83,176.38 |