| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57,810.70 | $110,599.00 | $224,707.00 | |
Cigna
| Facility | $169,055.58 | $169,055.58 | $179,618.40 | |
Premera BCBS
| Facility | $7,500.00 | $65,334.88 | $102,789.08 | |
Providence
| Facility | $7,500.00 | $65,154.50 | $179,618.40 |