| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $75,044.10 | $143,568.00 | $291,692.00 | |
Cigna
| Facility | $219,451.17 | $219,451.17 | $233,162.78 | |
Premera BCBS
| Facility | $7,500.00 | $84,811.26 | $132,364.85 | |
Providence
| Facility | $7,500.00 | $83,901.58 | $233,162.78 |