| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37,280.60 | $71,322.20 | $144,907.00 | |
Cigna
| Facility | $109,019.44 | $109,019.44 | $115,831.13 | |
Premera BCBS
| Facility | $7,500.00 | $42,132.73 | $65,522.52 | |
Providence
| Facility | $7,500.00 | $41,532.50 | $115,831.13 |