| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43,930.40 | $84,044.10 | $170,755.00 | |
Cigna
| Facility | $128,465.50 | $128,465.50 | $136,492.20 | |
Premera BCBS
| Facility | $7,500.00 | $49,648.04 | $83,212.53 | |
Providence
| Facility | $7,500.00 | $52,745.60 | $136,492.20 |