| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22,387.21 | $32,359.37 | $67,608.30 | |
Cigna
| Facility | $47,863.01 | $47,863.01 | $51,286.14 | |
Moda Health
| Facility | $22,908.68 | $22,908.68 | $22,908.68 | |
Premera BCBS
| Facility | $10,715.19 | $18,620.87 | $28,183.83 | |
Providence
| Facility | $47,863.01 | $47,863.01 | $51,286.14 |