| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45,964.00 | $87,934.60 | $178,659.00 | |
Cigna
| Facility | $134,412.38 | $134,412.38 | $142,810.65 | |
Premera BCBS
| Facility | $7,500.00 | $51,946.33 | $85,736.89 | |
Providence
| Facility | $7,500.00 | $54,345.70 | $142,810.65 |