| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $94,634.40 | $181,047.00 | $367,839.00 | |
Cigna
| Facility | $276,739.18 | $276,739.18 | $294,030.23 | |
Premera BCBS
| Facility | $7,500.00 | $106,951.35 | $163,559.75 | |
Providence
| Facility | $7,500.00 | $103,674.96 | $294,030.23 |