| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18,620.87 | $27,542.29 | $56,234.13 | |
Cigna
| Facility | $40,738.03 | $40,738.03 | $42,657.95 | |
Moda Health
| Facility | $19,054.61 | $19,054.61 | $19,054.61 | |
Premera BCBS
| Facility | $8,912.51 | $15,488.17 | $25,118.86 | |
Providence
| Facility | $40,738.03 | $40,738.03 | $42,657.95 |