| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36,599.50 | $70,019.20 | $142,260.00 | |
Cigna
| Facility | $107,027.76 | $107,027.76 | $113,715.00 | |
Premera BCBS
| Facility | $7,500.00 | $41,363.00 | $70,249.84 | |
Providence
| Facility | $7,500.00 | $44,528.98 | $113,715.00 |