| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48,523.20 | $92,830.70 | $188,607.00 | |
Cigna
| Facility | $141,896.28 | $141,896.28 | $150,762.15 | |
Premera BCBS
| Facility | $7,500.00 | $54,838.63 | $84,019.65 | |
Providence
| Facility | $7,500.00 | $53,257.20 | $150,762.15 |