| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $66,103.30 | $126,464.00 | $256,940.00 | |
Cigna
| Facility | $193,305.81 | $193,305.81 | $205,383.83 | |
Premera BCBS
| Facility | $7,500.00 | $74,706.86 | $122,826.82 | |
Providence
| Facility | $7,500.00 | $77,855.74 | $205,383.83 |