| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $75,992.10 | $145,382.00 | $295,377.00 | |
Cigna
| Facility | $222,223.43 | $222,223.43 | $236,108.25 | |
Premera BCBS
| Facility | $7,500.00 | $85,882.65 | $150,545.51 | |
Providence
| Facility | $7,500.00 | $95,425.69 | $236,108.25 |