| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $80,695.00 | $154,379.00 | $313,657.00 | |
Cigna
| Facility | $235,976.09 | $235,976.09 | $250,720.20 | |
Premera BCBS
| Facility | $7,500.00 | $91,197.64 | $142,822.85 | |
Providence
| Facility | $7,500.00 | $90,530.55 | $250,720.20 |