| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27,492.30 | $52,596.00 | $106,861.00 | |
Cigna
| Facility | $80,395.55 | $80,395.55 | $85,418.78 | |
Moda Health
| Facility | $41,929.67 | $41,929.67 | $41,929.67 | |
Premera BCBS
| Facility | $7,500.00 | $31,070.45 | $49,019.84 | |
Providence
| Facility | $7,500.00 | $31,072.01 | $85,418.78 |