| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38,139.10 | $72,964.70 | $148,245.00 | |
Cigna
| Facility | $111,530.17 | $111,530.17 | $118,498.73 | |
Premera BCBS
| Facility | $7,500.00 | $43,103.05 | $62,509.99 | |
Providence
| Facility | $7,500.00 | $39,622.94 | $118,498.73 |