| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $49,621.20 | $94,931.30 | $192,875.00 | |
Cigna
| Facility | $145,107.10 | $145,107.10 | $154,173.60 | |
Premera BCBS
| Facility | $7,500.00 | $56,079.52 | $78,605.42 | |
Providence
| Facility | $7,500.00 | $49,825.31 | $154,173.60 |