| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $56,234.13 | $81,283.05 | $169,824.37 | |
Cigna
| Facility | $120,226.44 | $120,226.44 | $128,824.96 | |
Moda Health
| Facility | $57,543.99 | $57,543.99 | $57,543.99 | |
Premera BCBS
| Facility | $26,915.35 | $46,773.51 | $70,794.58 | |
Providence
| Facility | $120,226.44 | $120,226.44 | $128,824.96 |