| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14,454.40 | $21,379.62 | $43,651.58 | |
Cigna
| Facility | $31,622.78 | $31,622.78 | $33,113.11 | |
Moda Health
| Facility | $14,791.08 | $14,791.08 | $14,791.08 | |
Premera BCBS
| Facility | $6,918.31 | $12,022.64 | $19,054.61 | |
Providence
| Facility | $31,622.78 | $31,622.78 | $33,113.11 |