| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16,218.10 | $23,988.33 | $50,118.72 | |
Cigna
| Facility | $35,481.34 | $35,481.34 | $38,018.94 | |
Moda Health
| Facility | $16,595.87 | $16,595.87 | $16,595.87 | |
Premera BCBS
| Facility | $7,943.28 | $13,803.84 | $22,387.21 | |
Providence
| Facility | $35,481.34 | $35,481.34 | $38,018.94 |