| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $90,470.90 | $173,082.00 | $351,655.00 | |
Cigna
| Facility | $264,563.77 | $264,563.77 | $281,094.08 | |
Moda Health
| Facility | $51,402.00 | $51,402.00 | $51,402.00 | |
Premera BCBS
| Facility | $7,500.00 | $102,245.92 | $145,943.32 | |
Providence
| Facility | $7,500.00 | $92,508.50 | $281,094.08 |