| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47,983.80 | $91,798.80 | $186,510.00 | |
Cigna
| Facility | $140,319.03 | $140,319.03 | $149,086.35 | |
Premera BCBS
| Facility | $7,500.00 | $54,229.07 | $94,813.73 | |
Providence
| Facility | $7,500.00 | $60,099.20 | $149,086.35 |