| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $49,695.50 | $95,073.40 | $193,164.00 | |
Cigna
| Facility | $145,324.38 | $145,324.38 | $154,404.45 | |
Premera BCBS
| Facility | $7,500.00 | $56,163.49 | $87,942.31 | |
Providence
| Facility | $7,500.00 | $55,743.64 | $154,404.45 |