| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21,877.62 | $31,622.78 | $66,069.34 | |
Cigna
| Facility | $46,773.51 | $46,773.51 | $50,118.72 | |
Moda Health
| Facility | $21,877.62 | $21,877.62 | $21,877.62 | |
Premera BCBS
| Facility | $10,471.29 | $18,197.01 | $30,199.52 | |
Providence
| Facility | $46,773.51 | $46,773.51 | $50,118.72 |