| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26,302.68 | $38,904.51 | $81,283.05 | |
Cigna
| Facility | $57,543.99 | $57,543.99 | $60,255.96 | |
Moda Health
| Facility | $26,915.35 | $26,915.35 | $26,915.35 | |
Premera BCBS
| Facility | $12,589.25 | $21,877.62 | $36,307.81 | |
Providence
| Facility | $57,543.99 | $57,543.99 | $60,255.96 |