| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45,708.82 | $67,608.30 | $138,038.43 | |
Cigna
| Facility | $100,000.00 | $100,000.00 | $104,712.85 | |
Moda Health
| Facility | $46,773.51 | $46,773.51 | $46,773.51 | |
Premera BCBS
| Facility | $21,877.62 | $38,018.94 | $57,543.99 | |
Providence
| Facility | $100,000.00 | $100,000.00 | $104,712.85 |