| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $62,586.50 | $119,735.00 | $243,270.00 | |
Cigna
| Facility | $183,021.49 | $183,021.49 | $194,456.93 | |
Premera BCBS
| Facility | $7,500.00 | $70,732.28 | $110,671.21 | |
Providence
| Facility | $7,500.00 | $70,150.72 | $194,456.93 |