| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43,479.10 | $83,180.70 | $169,001.00 | |
Cigna
| Facility | $127,145.76 | $127,145.76 | $135,090.00 | |
Premera BCBS
| Facility | $7,500.00 | $49,138.00 | $75,646.88 | |
Providence
| Facility | $7,500.00 | $47,949.98 | $135,090.00 |