| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28,183.83 | $40,738.03 | $85,113.80 | |
Cigna
| Facility | $60,255.96 | $60,255.96 | $64,565.42 | |
Moda Health
| Facility | $28,840.32 | $28,840.32 | $28,840.32 | |
Premera BCBS
| Facility | $13,489.63 | $23,442.29 | $39,810.72 | |
Providence
| Facility | $60,255.96 | $60,255.96 | $64,565.42 |