| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24,547.09 | $35,481.34 | $74,131.02 | |
Cigna
| Facility | $52,480.75 | $52,480.75 | $56,234.13 | |
Moda Health
| Facility | $24,547.09 | $24,547.09 | $24,547.09 | |
Premera BCBS
| Facility | $11,748.98 | $20,417.38 | $30,902.95 | |
Providence
| Facility | $52,480.75 | $52,480.75 | $56,234.13 |