| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $59,541.60 | $113,910.00 | $231,435.00 | |
Cigna
| Facility | $174,117.27 | $174,117.27 | $184,996.35 | |
Moda Health
| Facility | $5,684.00 | $5,684.00 | $5,684.00 | |
Premera BCBS
| Facility | $7,500.00 | $67,291.07 | $104,486.69 | |
Providence
| Facility | $7,500.00 | $66,230.56 | $184,996.35 |