| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $68,622.60 | $131,283.00 | $266,732.00 | |
Cigna
| Facility | $200,673.03 | $200,673.03 | $213,211.35 | |
Moda Health
| Facility | $23,993.00 | $23,993.00 | $23,993.00 | |
Premera BCBS
| Facility | $7,500.00 | $77,554.07 | $124,590.67 | |
Providence
| Facility | $7,500.00 | $78,973.78 | $213,211.35 |