| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16,595.87 | $24,547.09 | $51,286.14 | |
Cigna
| Facility | $36,307.81 | $36,307.81 | $38,904.51 | |
Moda Health
| Facility | $16,982.44 | $16,982.44 | $16,982.44 | |
Premera BCBS
| Facility | $8,128.31 | $14,125.38 | $21,379.62 | |
Providence
| Facility | $36,307.81 | $36,307.81 | $38,904.51 |