| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $73,331.00 | $140,291.00 | $285,034.00 | |
Cigna
| Facility | $214,441.79 | $214,441.79 | $227,840.40 | |
Premera BCBS
| Facility | $7,500.00 | $82,875.28 | $126,332.44 | |
Providence
| Facility | $7,500.00 | $80,077.84 | $227,840.40 |