| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42,780.10 | $81,843.50 | $166,284.00 | |
Cigna
| Facility | $125,101.77 | $125,101.77 | $132,918.29 | |
Premera BCBS
| Facility | $7,500.00 | $48,348.06 | $75,028.67 | |
Providence
| Facility | $7,500.00 | $47,558.12 | $132,918.29 |