| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39,651.30 | $75,857.60 | $154,122.00 | |
Cigna
| Facility | $115,952.10 | $115,952.10 | $123,196.95 | |
Premera BCBS
| Facility | $7,500.00 | $44,811.99 | $65,004.89 | |
Providence
| Facility | $7,500.00 | $41,204.39 | $123,196.95 |