| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $78,522.39 | $150,223.00 | $305,212.00 | |
Cigna
| Facility | $229,622.83 | $229,622.83 | $243,969.98 | |
Moda Health
| Facility | $162,646.65 | $162,646.65 | $162,646.65 | |
Premera BCBS
| Facility | $7,500.00 | $7,500.00 | $88,742.30 | |
Providence
| Facility | $229,622.83 | $229,622.83 | $243,969.98 |