| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27,542.29 | $40,738.03 | $83,176.38 | |
Cigna
| Facility | $60,255.96 | $60,255.96 | $63,095.73 | |
Moda Health
| Facility | $28,183.83 | $28,183.83 | $28,183.83 | |
Premera BCBS
| Facility | $13,182.57 | $22,908.68 | $37,153.52 | |
Providence
| Facility | $60,255.96 | $60,255.96 | $63,095.73 |