| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $49,132.70 | $93,996.80 | $190,976.00 | |
Cigna
| Facility | $143,678.73 | $143,678.73 | $152,655.98 | |
Premera BCBS
| Facility | $7,500.00 | $55,527.50 | $88,901.51 | |
Providence
| Facility | $7,500.00 | $56,351.65 | $152,655.98 |