| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $77,354.20 | $147,988.00 | $300,672.00 | |
Cigna
| Facility | $226,206.79 | $226,206.79 | $240,340.50 | |
Premera BCBS
| Facility | $7,500.00 | $87,422.10 | $135,053.57 | |
Providence
| Facility | $7,500.00 | $85,605.86 | $240,340.50 |