| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $98,690.60 | $188,807.00 | $383,605.00 | |
Cigna
| Facility | $288,600.76 | $288,600.76 | $306,632.93 | |
Premera BCBS
| Facility | $7,500.00 | $111,535.49 | $163,836.96 | |
Providence
| Facility | $7,500.00 | $103,850.67 | $306,632.93 |