| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $58,687.10 | $112,275.00 | $228,114.00 | |
Cigna
| Facility | $171,618.61 | $171,618.61 | $182,341.58 | |
Premera BCBS
| Facility | $7,500.00 | $66,325.42 | $103,745.83 | |
Providence
| Facility | $7,500.00 | $65,760.95 | $182,341.58 |