| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39,929.19 | $76,389.30 | $155,203.00 | |
Cigna
| Facility | $116,764.87 | $116,764.87 | $124,060.50 | |
Premera BCBS
| Facility | $7,500.00 | $45,126.10 | $71,947.45 | |
Providence
| Facility | $7,500.00 | $45,605.04 | $124,060.50 |