| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $95,100.80 | $181,939.00 | $369,652.00 | |
Cigna
| Facility | $278,103.18 | $278,103.18 | $295,479.45 | |
Premera BCBS
| Facility | $7,500.00 | $107,478.49 | $170,656.86 | |
Providence
| Facility | $7,500.00 | $108,173.58 | $295,479.45 |