| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $115,624.00 | $221,203.00 | $449,424.00 | |
Cigna
| Facility | $338,119.20 | $338,119.20 | $359,245.35 | |
Premera BCBS
| Facility | $7,500.00 | $130,672.87 | $207,751.70 | |
Providence
| Facility | $7,500.00 | $131,686.73 | $359,245.35 |