| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $49,886.70 | $95,439.30 | $193,907.00 | |
Cigna
| Facility | $145,883.67 | $145,883.67 | $154,998.68 | |
Premera BCBS
| Facility | $7,500.00 | $56,379.64 | $86,360.00 | |
Providence
| Facility | $7,500.00 | $54,740.67 | $154,998.68 |