| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40,467.19 | $77,418.60 | $157,294.00 | |
Cigna
| Facility | $118,338.10 | $118,338.10 | $125,732.03 | |
Premera BCBS
| Facility | $7,500.00 | $45,734.11 | $73,851.13 | |
Providence
| Facility | $7,500.00 | $46,811.72 | $125,732.03 |