| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11,220.18 | $16,218.10 | $33,884.42 | |
Cigna
| Facility | $23,988.33 | $23,988.33 | $25,703.96 | |
Moda Health
| Facility | $11,220.18 | $11,220.18 | $11,220.18 | |
Premera BCBS
| Facility | $5,370.32 | $9,332.54 | $14,791.08 | |
Providence
| Facility | $23,988.33 | $23,988.33 | $25,703.96 |