| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57,411.60 | $109,835.00 | $223,156.00 | |
Cigna
| Facility | $167,888.73 | $167,888.73 | $178,378.65 | |
Premera BCBS
| Facility | $7,500.00 | $64,883.93 | $105,921.82 | |
Providence
| Facility | $7,500.00 | $67,140.24 | $178,378.65 |