| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43,806.50 | $83,807.20 | $170,274.00 | |
Cigna
| Facility | $128,103.38 | $128,103.38 | $136,107.45 | |
Premera BCBS
| Facility | $7,500.00 | $49,508.09 | $79,917.89 | |
Providence
| Facility | $7,500.00 | $50,657.24 | $136,107.45 |