| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43,849.20 | $83,888.80 | $170,439.00 | |
Cigna
| Facility | $128,228.11 | $128,228.11 | $136,239.98 | |
Premera BCBS
| Facility | $7,500.00 | $49,556.30 | $75,857.85 | |
Providence
| Facility | $7,500.00 | $48,083.71 | $136,239.98 |