| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51,427.80 | $98,387.50 | $199,897.00 | |
Cigna
| Facility | $150,390.10 | $150,390.10 | $159,786.68 | |
Premera BCBS
| Facility | $7,500.00 | $58,121.23 | $94,472.73 | |
Providence
| Facility | $7,500.00 | $59,883.05 | $159,786.68 |