| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57,142.00 | $109,319.00 | $222,108.00 | |
Cigna
| Facility | $167,100.10 | $167,100.10 | $177,540.75 | |
Premera BCBS
| Facility | $7,500.00 | $64,579.15 | $99,774.10 | |
Providence
| Facility | $7,500.00 | $63,243.41 | $177,540.75 |