| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $53,824.60 | $102,973.00 | $209,213.00 | |
Cigna
| Facility | $157,399.21 | $157,399.21 | $167,233.73 | |
Premera BCBS
| Facility | $7,500.00 | $60,830.05 | $93,255.94 | |
Providence
| Facility | $7,500.00 | $59,111.77 | $167,233.73 |