| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45,296.70 | $86,657.90 | $176,066.00 | |
Cigna
| Facility | $132,460.94 | $132,460.94 | $140,737.28 | |
Premera BCBS
| Facility | $7,500.00 | $51,192.16 | $81,463.41 | |
Providence
| Facility | $7,500.00 | $51,636.89 | $140,737.28 |