| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51,277.80 | $98,100.60 | $199,314.00 | |
Cigna
| Facility | $149,951.51 | $149,951.51 | $159,320.70 | |
Premera BCBS
| Facility | $7,500.00 | $57,951.74 | $96,810.63 | |
Providence
| Facility | $7,500.00 | $61,364.97 | $159,320.70 |