| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19,498.45 | $28,183.83 | $58,884.37 | |
Cigna
| Facility | $41,686.94 | $41,686.94 | $44,668.36 | |
Moda Health
| Facility | $19,952.62 | $19,952.62 | $19,952.62 | |
Premera BCBS
| Facility | $9,332.54 | $16,218.10 | $23,442.29 | |
Providence
| Facility | $41,686.94 | $41,686.94 | $44,668.36 |