| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $44,755.90 | $85,623.50 | $173,964.00 | |
Cigna
| Facility | $130,879.66 | $130,879.66 | $139,057.20 | |
Premera BCBS
| Facility | $7,500.00 | $50,581.04 | $83,575.62 | |
Providence
| Facility | $7,500.00 | $52,975.74 | $139,057.20 |