| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $44,447.70 | $85,033.80 | $172,766.00 | |
Cigna
| Facility | $129,978.37 | $129,978.37 | $138,099.60 | |
Premera BCBS
| Facility | $7,500.00 | $50,232.72 | $75,700.85 | |
Providence
| Facility | $7,500.00 | $47,984.19 | $138,099.60 |