| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34,673.69 | $50,118.72 | $104,712.85 | |
Cigna
| Facility | $74,131.02 | $74,131.02 | $79,432.82 | |
Moda Health
| Facility | $35,481.34 | $35,481.34 | $35,481.34 | |
Premera BCBS
| Facility | $16,595.87 | $28,840.32 | $43,651.58 | |
Providence
| Facility | $74,131.02 | $74,131.02 | $79,432.82 |