| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $90,142.00 | $172,453.00 | $350,377.00 | |
Cigna
| Facility | $263,602.13 | $263,602.13 | $280,072.34 | |
Premera BCBS
| Facility | $7,500.00 | $101,874.27 | $151,063.15 | |
Providence
| Facility | $7,500.00 | $95,753.79 | $280,072.34 |