| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30,446.40 | $58,247.50 | $118,343.00 | |
Cigna
| Facility | $89,034.22 | $89,034.22 | $94,597.20 | |
Moda Health
| Facility | $3,953.00 | $3,953.00 | $5,684.00 | |
Premera BCBS
| Facility | $7,500.00 | $34,409.04 | $54,296.68 | |
Providence
| Facility | $7,500.00 | $34,416.81 | $94,597.20 |