| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67,436.60 | $129,014.00 | $262,122.00 | |
Cigna
| Facility | $197,204.68 | $197,204.68 | $209,526.30 | |
Premera BCBS
| Facility | $7,500.00 | $76,213.66 | $132,347.69 | |
Providence
| Facility | $7,500.00 | $83,890.69 | $209,526.30 |