| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $58,107.90 | $111,167.00 | $225,862.00 | |
Cigna
| Facility | $169,924.68 | $169,924.68 | $180,541.80 | |
Moda Health
| Facility | $53,010.00 | $53,010.00 | $53,010.00 | |
Premera BCBS
| Facility | $7,500.00 | $65,670.75 | $102,062.93 | |
Providence
| Facility | $7,500.00 | $64,694.22 | $180,541.80 |