| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61,659.50 | $89,125.09 | $186,208.71 | |
Cigna
| Facility | $131,825.67 | $131,825.67 | $141,253.75 | |
Moda Health
| Facility | $63,095.73 | $63,095.73 | $63,095.73 | |
Premera BCBS
| Facility | $29,512.09 | $51,286.14 | $67,608.30 | |
Providence
| Facility | $131,825.67 | $131,825.67 | $141,253.75 |