| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $62,314.00 | $119,214.00 | $242,211.00 | |
Cigna
| Facility | $182,224.82 | $182,224.82 | $193,610.48 | |
Premera BCBS
| Facility | $7,500.00 | $70,424.39 | $116,637.39 | |
Providence
| Facility | $7,500.00 | $73,932.48 | $193,610.48 |