| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $44,668.36 | $66,069.34 | $134,896.29 | |
Cigna
| Facility | $97,723.72 | $97,723.72 | $102,329.30 | |
Moda Health
| Facility | $45,708.82 | $45,708.82 | $45,708.82 | |
Premera BCBS
| Facility | $21,379.62 | $37,153.52 | $56,234.13 | |
Providence
| Facility | $97,723.72 | $97,723.72 | $102,329.30 |