| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $62,775.00 | $120,096.00 | $244,003.00 | |
Cigna
| Facility | $183,572.73 | $183,572.73 | $195,042.60 | |
Premera BCBS
| Facility | $7,500.00 | $70,945.32 | $119,875.62 | |
Providence
| Facility | $7,500.00 | $75,985.08 | $195,042.60 |