| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22,046.40 | $42,177.30 | $85,693.00 | |
Cigna
| Facility | $64,470.14 | $64,470.14 | $68,498.33 | |
Moda Health
| Facility | $23,993.00 | $23,993.00 | $23,993.00 | |
Premera BCBS
| Facility | $7,500.00 | $24,915.77 | $39,089.29 | |
Providence
| Facility | $7,500.00 | $24,777.37 | $68,498.33 |