| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51,422.30 | $98,376.90 | $199,875.00 | |
Cigna
| Facility | $150,374.00 | $150,374.00 | $159,769.57 | |
Premera BCBS
| Facility | $7,500.00 | $58,115.02 | $87,917.78 | |
Providence
| Facility | $7,500.00 | $55,728.09 | $159,769.57 |