| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57,543.99 | $85,113.80 | $177,827.94 | |
Cigna
| Facility | $125,892.54 | $125,892.54 | $134,896.29 | |
Moda Health
| Facility | $58,884.37 | $58,884.37 | $58,884.37 | |
Premera BCBS
| Facility | $27,542.29 | $48,977.88 | $85,113.80 | |
Providence
| Facility | $125,892.54 | $125,892.54 | $134,896.29 |