| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42,855.80 | $81,988.30 | $166,578.00 | |
Cigna
| Facility | $125,323.07 | $125,323.07 | $133,153.43 | |
Premera BCBS
| Facility | $7,500.00 | $48,433.59 | $72,335.06 | |
Providence
| Facility | $7,500.00 | $45,850.73 | $133,153.43 |