| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36,471.50 | $69,774.39 | $141,763.00 | |
Cigna
| Facility | $106,653.57 | $106,653.57 | $113,317.43 | |
Premera BCBS
| Facility | $7,500.00 | $41,218.39 | $65,318.90 | |
Providence
| Facility | $7,500.00 | $41,403.43 | $113,317.43 |