| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39,220.60 | $75,033.70 | $152,448.00 | |
Cigna
| Facility | $114,692.72 | $114,692.72 | $121,858.88 | |
Premera BCBS
| Facility | $7,500.00 | $44,325.27 | $71,437.17 | |
Providence
| Facility | $7,500.00 | $45,281.60 | $121,858.88 |