| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38,403.30 | $73,470.10 | $149,271.00 | |
Cigna
| Facility | $112,302.70 | $112,302.70 | $119,319.53 | |
Premera BCBS
| Facility | $7,500.00 | $43,401.61 | $64,923.94 | |
Providence
| Facility | $7,500.00 | $41,153.08 | $119,319.53 |