| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22,387.21 | $33,113.11 | $69,183.10 | |
Cigna
| Facility | $48,977.88 | $48,977.88 | $51,286.14 | |
Moda Health
| Facility | $22,908.68 | $22,908.68 | $22,908.68 | |
Premera BCBS
| Facility | $10,715.19 | $18,620.87 | $33,113.11 | |
Providence
| Facility | $48,977.88 | $48,977.88 | $51,286.14 |