| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $44,315.60 | $84,781.10 | $172,252.00 | |
Cigna
| Facility | $129,592.11 | $129,592.11 | $137,689.20 | |
Premera BCBS
| Facility | $7,500.00 | $50,083.44 | $78,016.67 | |
Providence
| Facility | $7,500.00 | $49,452.11 | $137,689.20 |