| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64,362.80 | $123,134.00 | $250,175.00 | |
Cigna
| Facility | $188,215.96 | $188,215.96 | $199,975.95 | |
Premera BCBS
| Facility | $7,500.00 | $72,739.78 | $117,145.21 | |
Providence
| Facility | $7,500.00 | $74,254.36 | $199,975.95 |