| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24,547.09 | $36,307.81 | $75,857.76 | |
Cigna
| Facility | $53,703.18 | $53,703.18 | $56,234.13 | |
Moda Health
| Facility | $25,118.86 | $25,118.86 | $25,118.86 | |
Premera BCBS
| Facility | $11,748.98 | $20,892.96 | $30,902.95 | |
Providence
| Facility | $53,703.18 | $53,703.18 | $56,234.13 |