| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40,738.03 | $60,255.96 | $125,892.54 | |
Cigna
| Facility | $89,125.09 | $89,125.09 | $95,499.26 | |
Moda Health
| Facility | $41,686.94 | $41,686.94 | $41,686.94 | |
Premera BCBS
| Facility | $19,952.62 | $34,673.69 | $52,480.75 | |
Providence
| Facility | $89,125.09 | $89,125.09 | $95,499.26 |