| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47,532.50 | $90,935.40 | $184,756.00 | |
Cigna
| Facility | $138,999.29 | $138,999.29 | $147,684.15 | |
Premera BCBS
| Facility | $7,500.00 | $53,719.03 | $84,360.64 | |
Providence
| Facility | $7,500.00 | $53,473.34 | $147,684.15 |