| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42,657.95 | $63,095.73 | $131,825.67 | |
Cigna
| Facility | $93,325.43 | $93,325.43 | $97,723.72 | |
Moda Health
| Facility | $43,651.58 | $43,651.58 | $43,651.58 | |
Premera BCBS
| Facility | $20,417.38 | $36,307.81 | $57,543.99 | |
Providence
| Facility | $93,325.43 | $93,325.43 | $97,723.72 |