| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $44,172.50 | $84,507.40 | $171,696.00 | |
Cigna
| Facility | $129,173.65 | $129,173.65 | $137,244.60 | |
Moda Health
| Facility | $5,684.00 | $5,684.00 | $5,684.00 | |
Premera BCBS
| Facility | $7,500.00 | $49,921.72 | $70,210.58 | |
Providence
| Facility | $7,500.00 | $44,504.10 | $137,244.60 |