| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $55,318.90 | $105,832.00 | $215,021.00 | |
Cigna
| Facility | $161,768.84 | $161,768.84 | $171,876.38 | |
Premera BCBS
| Facility | $7,500.00 | $62,518.78 | $96,391.13 | |
Providence
| Facility | $7,500.00 | $61,099.06 | $171,876.38 |