| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24,257.50 | $46,407.40 | $94,287.40 | |
Cigna
| Facility | $70,936.07 | $70,936.07 | $75,368.25 | |
Moda Health
| Facility | $5,684.00 | $5,684.00 | $5,684.00 | |
Premera BCBS
| Facility | $7,500.00 | $27,414.65 | $44,380.84 | |
Providence
| Facility | $7,500.00 | $28,131.50 | $75,368.25 |