| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42,067.40 | $80,479.89 | $163,514.00 | |
Cigna
| Facility | $123,017.55 | $123,017.55 | $130,703.85 | |
Premera BCBS
| Facility | $7,500.00 | $47,542.57 | $65,792.37 | |
Providence
| Facility | $7,500.00 | $41,703.55 | $130,703.85 |