| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19,952.62 | $29,512.09 | $61,659.50 | |
Cigna
| Facility | $43,651.58 | $43,651.58 | $45,708.82 | |
Moda Health
| Facility | $20,417.38 | $20,417.38 | $20,417.38 | |
Premera BCBS
| Facility | $9,549.93 | $16,595.87 | $26,915.35 | |
Providence
| Facility | $43,651.58 | $43,651.58 | $45,708.82 |