| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43,718.50 | $83,638.70 | $169,931.00 | |
Cigna
| Facility | $127,845.87 | $127,845.87 | $135,833.85 | |
Premera BCBS
| Facility | $7,500.00 | $49,408.57 | $86,607.77 | |
Providence
| Facility | $7,500.00 | $54,897.72 | $135,833.85 |