| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33,218.80 | $63,551.60 | $129,120.00 | |
Cigna
| Facility | $97,141.77 | $97,141.77 | $103,211.33 | |
Moda Health
| Facility | $68,807.55 | $68,807.55 | $68,807.55 | |
Premera BCBS
| Facility | $7,500.00 | $7,500.00 | $37,542.37 | |
Providence
| Facility | $97,141.77 | $97,141.77 | $103,211.33 |