| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $293,766.00 | $562,009.00 | $1,141,850.00 | |
Cigna
| Facility | $859,058.72 | $859,058.72 | $912,733.88 | |
Premera BCBS
| Facility | $7,500.00 | $332,000.28 | $581,967.73 | |
Providence
| Facility | $7,500.00 | $368,889.54 | $912,733.88 |