| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $53,127.00 | $101,638.00 | $206,502.00 | |
Cigna
| Facility | $155,359.24 | $155,359.24 | $165,066.29 | |
Premera BCBS
| Facility | $7,500.00 | $60,041.66 | $92,529.80 | |
Providence
| Facility | $7,500.00 | $58,651.49 | $165,066.29 |