| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37,436.00 | $71,619.60 | $145,512.00 | |
Cigna
| Facility | $109,474.11 | $109,474.11 | $116,314.20 | |
Moda Health
| Facility | $5,684.00 | $5,684.00 | $5,684.00 | |
Premera BCBS
| Facility | $7,500.00 | $42,308.44 | $69,835.24 | |
Providence
| Facility | $7,500.00 | $44,266.19 | $116,314.20 |