| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14,894.30 | $28,494.60 | $57,893.40 | |
Cigna
| Facility | $43,555.47 | $43,555.47 | $46,276.88 | |
Moda Health
| Facility | $38,363.29 | $38,363.29 | $38,363.29 | |
Premera BCBS
| Facility | $7,500.00 | $16,832.88 | $26,519.09 | |
Providence
| Facility | $7,500.00 | $16,809.55 | $46,276.88 |