| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37,114.10 | $71,003.70 | $144,260.00 | |
Cigna
| Facility | $108,532.59 | $108,532.59 | $115,313.85 | |
Premera BCBS
| Facility | $7,500.00 | $41,944.57 | $64,183.07 | |
Providence
| Facility | $7,500.00 | $40,683.47 | $115,313.85 |