| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47,763.70 | $91,377.70 | $185,655.00 | |
Cigna
| Facility | $139,675.25 | $139,675.25 | $148,402.35 | |
Premera BCBS
| Facility | $7,500.00 | $53,980.27 | $84,996.02 | |
Providence
| Facility | $7,500.00 | $53,876.09 | $148,402.35 |