| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40,952.90 | $78,347.80 | $159,182.00 | |
Cigna
| Facility | $119,758.43 | $119,758.43 | $127,241.10 | |
Premera BCBS
| Facility | $7,500.00 | $46,283.02 | $75,273.99 | |
Providence
| Facility | $7,500.00 | $47,713.62 | $127,241.10 |