| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33,113.11 | $48,977.88 | $102,329.30 | |
Cigna
| Facility | $72,443.60 | $72,443.60 | $75,857.76 | |
Moda Health
| Facility | $33,884.42 | $33,884.42 | $33,884.42 | |
Premera BCBS
| Facility | $15,848.93 | $28,183.83 | $42,657.95 | |
Providence
| Facility | $72,443.60 | $72,443.60 | $75,857.76 |