| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23,988.33 | $35,481.34 | $74,131.02 | |
Cigna
| Facility | $52,480.75 | $52,480.75 | $54,954.09 | |
Moda Health
| Facility | $24,547.09 | $24,547.09 | $24,547.09 | |
Premera BCBS
| Facility | $11,481.54 | $19,952.62 | $34,673.69 | |
Providence
| Facility | $52,480.75 | $52,480.75 | $54,954.09 |