| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $49,783.50 | $95,241.90 | $193,506.00 | |
Cigna
| Facility | $145,581.90 | $145,581.90 | $154,678.04 | |
Premera BCBS
| Facility | $7,500.00 | $56,263.01 | $87,503.19 | |
Providence
| Facility | $7,500.00 | $55,465.30 | $154,678.04 |