| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25,118.86 | $36,307.81 | $75,857.76 | |
Cigna
| Facility | $53,703.18 | $53,703.18 | $57,543.99 | |
Moda Health
| Facility | $25,703.96 | $25,703.96 | $25,703.96 | |
Premera BCBS
| Facility | $12,022.64 | $20,892.96 | $29,512.09 | |
Providence
| Facility | $53,703.18 | $53,703.18 | $57,543.99 |