| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48,971.70 | $93,688.80 | $190,350.00 | |
Cigna
| Facility | $143,207.97 | $143,207.97 | $152,155.79 | |
Premera BCBS
| Facility | $7,500.00 | $55,345.56 | $91,847.81 | |
Providence
| Facility | $7,500.00 | $58,219.20 | $152,155.79 |