| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $41,734.40 | $79,842.89 | $162,219.00 | |
Cigna
| Facility | $122,043.84 | $122,043.84 | $129,669.30 | |
Premera BCBS
| Facility | $7,500.00 | $47,166.26 | $80,182.84 | |
Providence
| Facility | $7,500.00 | $50,825.18 | $129,669.30 |