| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $58,008.80 | $110,978.00 | $225,477.00 | |
Cigna
| Facility | $169,634.98 | $169,634.98 | $180,234.00 | |
Premera BCBS
| Facility | $7,500.00 | $65,558.80 | $100,664.61 | |
Providence
| Facility | $7,500.00 | $63,807.87 | $180,234.00 |