| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $66,439.10 | $127,106.00 | $258,245.00 | |
Cigna
| Facility | $194,287.57 | $194,287.57 | $206,426.93 | |
Premera BCBS
| Facility | $7,500.00 | $75,086.28 | $119,151.92 | |
Providence
| Facility | $7,500.00 | $75,526.35 | $206,426.93 |