| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21,379.62 | $30,902.95 | $64,565.42 | |
Cigna
| Facility | $45,708.82 | $45,708.82 | $48,977.88 | |
Moda Health
| Facility | $21,877.62 | $21,877.62 | $21,877.62 | |
Premera BCBS
| Facility | $10,232.93 | $17,782.79 | $28,183.83 | |
Providence
| Facility | $45,708.82 | $45,708.82 | $48,977.88 |