| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57,634.50 | $110,262.00 | $224,022.00 | |
Cigna
| Facility | $168,540.56 | $168,540.56 | $179,071.20 | |
Moda Health
| Facility | $51,402.00 | $51,402.00 | $223,839.75 | |
Premera BCBS
| Facility | $7,500.00 | $65,135.84 | $100,870.68 | |
Providence
| Facility | $7,500.00 | $63,938.49 | $179,071.20 |