| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38,655.10 | $73,951.80 | $150,250.00 | |
Cigna
| Facility | $113,039.02 | $113,039.02 | $120,101.85 | |
Premera BCBS
| Facility | $7,500.00 | $43,686.17 | $71,476.44 | |
Providence
| Facility | $7,500.00 | $45,306.48 | $120,101.85 |