| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $134,604.00 | $257,513.00 | $523,196.00 | |
Cigna
| Facility | $393,620.74 | $393,620.74 | $418,214.70 | |
Moda Health
| Facility | $51,402.00 | $51,402.00 | $51,402.00 | |
Premera BCBS
| Facility | $7,500.00 | $152,122.54 | $236,743.61 | |
Providence
| Facility | $7,500.00 | $150,063.72 | $418,214.70 |