| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38,516.10 | $73,686.00 | $149,710.00 | |
Cigna
| Facility | $112,632.63 | $112,632.63 | $119,670.08 | |
Premera BCBS
| Facility | $7,500.00 | $43,529.12 | $69,226.85 | |
Providence
| Facility | $7,500.00 | $43,880.55 | $119,670.08 |