| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61,405.90 | $117,477.00 | $238,681.00 | |
Cigna
| Facility | $179,569.24 | $179,569.24 | $190,788.98 | |
Premera BCBS
| Facility | $7,500.00 | $69,398.10 | $107,756.81 | |
Providence
| Facility | $7,500.00 | $68,303.38 | $190,788.98 |