| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11,481.54 | $16,982.44 | $35,481.34 | |
Cigna
| Facility | $25,118.86 | $25,118.86 | $26,302.68 | |
Moda Health
| Facility | $11,748.98 | $11,748.98 | $11,748.98 | |
Premera BCBS
| Facility | $5,495.41 | $9,549.93 | $15,488.17 | |
Providence
| Facility | $25,118.86 | $25,118.86 | $26,302.68 |