| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28,183.83 | $41,686.94 | $87,096.36 | |
Cigna
| Facility | $61,659.50 | $61,659.50 | $66,069.34 | |
Moda Health
| Facility | $28,840.32 | $28,840.32 | $28,840.32 | |
Premera BCBS
| Facility | $13,803.84 | $23,988.33 | $37,153.52 | |
Providence
| Facility | $61,659.50 | $61,659.50 | $66,069.34 |