| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67,951.20 | $129,999.00 | $264,122.00 | |
Cigna
| Facility | $198,709.51 | $198,709.51 | $211,125.15 | |
Moda Health
| Facility | $100,021.73 | $100,021.73 | $100,021.73 | |
Premera BCBS
| Facility | $7,500.00 | $76,795.23 | $122,696.80 | |
Providence
| Facility | $7,500.00 | $77,773.33 | $211,125.15 |