| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17,417.80 | $33,322.30 | $67,701.89 | |
Cigna
| Facility | $50,934.75 | $50,934.75 | $54,117.23 | |
Moda Health
| Facility | $18,261.18 | $18,261.18 | $18,261.18 | |
Premera BCBS
| Facility | $7,500.00 | $19,684.75 | $30,382.88 | |
Providence
| Facility | $7,500.00 | $19,258.68 | $54,117.23 |