| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45,708.82 | $66,069.34 | $138,038.43 | |
Cigna
| Facility | $97,723.72 | $97,723.72 | $104,712.85 | |
Moda Health
| Facility | $45,708.82 | $45,708.82 | $45,708.82 | |
Premera BCBS
| Facility | $21,877.62 | $38,018.94 | $57,543.99 | |
Providence
| Facility | $97,723.72 | $97,723.72 | $104,712.85 |