| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $123,965.00 | $237,160.00 | $481,845.00 | |
Cigna
| Facility | $362,510.27 | $362,510.27 | $385,160.40 | |
Premera BCBS
| Facility | $7,500.00 | $140,099.28 | $204,596.88 | |
Providence
| Facility | $7,500.00 | $129,687.00 | $385,160.40 |