| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $91,933.50 | $175,880.00 | $357,340.00 | |
Cigna
| Facility | $268,840.86 | $268,840.86 | $285,638.40 | |
Premera BCBS
| Facility | $7,500.00 | $103,898.88 | $164,467.43 | |
Providence
| Facility | $7,500.00 | $104,250.31 | $285,638.40 |