| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50,518.30 | $96,647.50 | $196,362.00 | |
Cigna
| Facility | $147,730.50 | $147,730.50 | $156,960.90 | |
Premera BCBS
| Facility | $7,500.00 | $57,093.38 | $87,113.13 | |
Providence
| Facility | $7,500.00 | $55,218.05 | $156,960.90 |