| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $49,182.30 | $94,091.60 | $191,169.00 | |
Cigna
| Facility | $143,823.57 | $143,823.57 | $152,809.88 | |
Premera BCBS
| Facility | $7,500.00 | $55,583.48 | $96,589.84 | |
Providence
| Facility | $7,500.00 | $61,225.02 | $152,809.88 |