| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $44,402.30 | $84,947.00 | $172,589.00 | |
Cigna
| Facility | $129,845.60 | $129,845.60 | $137,958.53 | |
Premera BCBS
| Facility | $7,500.00 | $50,181.41 | $79,081.36 | |
Providence
| Facility | $7,500.00 | $50,126.98 | $137,958.53 |