| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29,512.09 | $43,651.58 | $91,201.08 | |
Cigna
| Facility | $64,565.42 | $64,565.42 | $69,183.10 | |
Moda Health
| Facility | $30,199.52 | $30,199.52 | $30,199.52 | |
Premera BCBS
| Facility | $14,454.40 | $25,118.86 | $41,686.94 | |
Providence
| Facility | $64,565.42 | $64,565.42 | $69,183.10 |