| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50,118.72 | $74,131.02 | $154,881.66 | |
Cigna
| Facility | $109,647.82 | $109,647.82 | $117,489.76 | |
Moda Health
| Facility | $51,286.14 | $51,286.14 | $51,286.14 | |
Premera BCBS
| Facility | $24,547.09 | $42,657.95 | $66,069.34 | |
Providence
| Facility | $109,647.82 | $109,647.82 | $117,489.76 |