| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $65,504.80 | $125,319.00 | $254,613.00 | |
Cigna
| Facility | $191,555.55 | $191,555.55 | $203,524.20 | |
Premera BCBS
| Facility | $7,500.00 | $74,030.44 | $115,408.34 | |
Providence
| Facility | $7,500.00 | $73,153.42 | $203,524.20 |