| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $53,703.18 | $79,432.82 | $165,958.69 | |
Cigna
| Facility | $117,489.76 | $117,489.76 | $123,026.88 | |
Moda Health
| Facility | $54,954.09 | $54,954.09 | $54,954.09 | |
Premera BCBS
| Facility | $25,703.96 | $44,668.36 | $69,183.10 | |
Providence
| Facility | $117,489.76 | $117,489.76 | $123,026.88 |