| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $151,643.00 | $290,111.00 | $589,427.00 | |
Cigna
| Facility | $443,449.00 | $443,449.00 | $471,156.30 | |
Premera BCBS
| Facility | $7,500.00 | $171,379.66 | $257,134.61 | |
Providence
| Facility | $7,500.00 | $162,988.88 | $471,156.30 |