| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $137,000.00 | $262,098.00 | $532,513.00 | |
Cigna
| Facility | $400,629.85 | $400,629.85 | $425,661.75 | |
Premera BCBS
| Facility | $7,500.00 | $154,831.35 | $259,896.91 | |
Providence
| Facility | $7,500.00 | $164,739.81 | $425,661.75 |