| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34,673.69 | $51,286.14 | $107,151.93 | |
Cigna
| Facility | $75,857.76 | $75,857.76 | $79,432.82 | |
Moda Health
| Facility | $35,481.34 | $35,481.34 | $35,481.34 | |
Premera BCBS
| Facility | $16,595.87 | $28,840.32 | $47,863.01 | |
Providence
| Facility | $75,857.76 | $75,857.76 | $79,432.82 |