| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61,648.10 | $117,940.00 | $239,623.00 | |
Cigna
| Facility | $180,277.40 | $180,277.40 | $191,541.38 | |
Premera BCBS
| Facility | $7,500.00 | $69,671.78 | $102,796.44 | |
Providence
| Facility | $7,500.00 | $65,159.16 | $191,541.38 |