| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $49,059.80 | $93,857.30 | $190,693.00 | |
Cigna
| Facility | $143,465.48 | $143,465.48 | $152,429.40 | |
Premera BCBS
| Facility | $7,500.00 | $55,445.08 | $85,888.99 | |
Providence
| Facility | $7,500.00 | $54,442.11 | $152,429.40 |