| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37,935.50 | $72,575.10 | $147,453.00 | |
Cigna
| Facility | $110,934.68 | $110,934.68 | $117,866.03 | |
Premera BCBS
| Facility | $7,500.00 | $42,872.91 | $66,314.89 | |
Providence
| Facility | $7,500.00 | $42,034.76 | $117,866.03 |