| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $53,257.70 | $101,888.00 | $207,010.00 | |
Cigna
| Facility | $155,741.49 | $155,741.49 | $165,472.43 | |
Premera BCBS
| Facility | $7,500.00 | $60,189.38 | $95,392.68 | |
Providence
| Facility | $7,500.00 | $60,466.18 | $165,472.43 |