| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9,772.37 | $14,125.38 | $29,512.09 | |
Cigna
| Facility | $20,892.96 | $20,892.96 | $22,387.21 | |
Moda Health
| Facility | $9,772.37 | $9,772.37 | $9,772.37 | |
Premera BCBS
| Facility | $4,677.35 | $8,128.31 | $12,882.50 | |
Providence
| Facility | $20,892.96 | $20,892.96 | $22,387.21 |