| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $292,042.00 | $558,711.00 | $1,135,150.00 | |
Cigna
| Facility | $854,017.15 | $854,017.15 | $907,377.30 | |
Premera BCBS
| Facility | $7,500.00 | $330,051.86 | $525,725.67 | |
Providence
| Facility | $7,500.00 | $333,239.61 | $907,377.30 |