| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42,123.80 | $80,587.89 | $163,733.00 | |
Cigna
| Facility | $123,182.51 | $123,182.51 | $130,879.13 | |
Premera BCBS
| Facility | $7,500.00 | $47,606.33 | $76,525.12 | |
Providence
| Facility | $7,500.00 | $48,506.67 | $130,879.13 |