| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $71,498.30 | $136,785.00 | $277,910.00 | |
Cigna
| Facility | $209,082.35 | $209,082.35 | $222,146.10 | |
Premera BCBS
| Facility | $7,500.00 | $80,804.02 | $136,746.26 | |
Providence
| Facility | $7,500.00 | $86,678.81 | $222,146.10 |