| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18,499.20 | $35,391.30 | $71,905.50 | |
Cigna
| Facility | $54,097.30 | $54,097.30 | $57,477.38 | |
Moda Health
| Facility | $7,415.00 | $7,415.00 | $7,415.00 | |
Premera BCBS
| Facility | $7,500.00 | $20,906.98 | $36,069.40 | |
Providence
| Facility | $7,500.00 | $22,863.17 | $57,477.38 |