| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $76,586.50 | $146,519.00 | $297,687.00 | |
Cigna
| Facility | $223,961.62 | $223,961.62 | $237,955.05 | |
Premera BCBS
| Facility | $7,500.00 | $86,554.41 | $122,731.14 | |
Providence
| Facility | $7,500.00 | $77,795.10 | $237,955.05 |