| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40,176.90 | $76,863.20 | $156,165.00 | |
Cigna
| Facility | $117,489.12 | $117,489.12 | $124,830.00 | |
Premera BCBS
| Facility | $7,500.00 | $45,406.00 | $71,537.77 | |
Providence
| Facility | $7,500.00 | $45,345.36 | $124,830.00 |