| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37,235.10 | $71,235.30 | $144,731.00 | |
Cigna
| Facility | $108,886.66 | $108,886.66 | $115,690.05 | |
Premera BCBS
| Facility | $7,500.00 | $42,081.41 | $67,004.25 | |
Providence
| Facility | $7,500.00 | $42,471.72 | $115,690.05 |