| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $53,581.10 | $102,507.00 | $208,267.00 | |
Cigna
| Facility | $156,687.03 | $156,687.03 | $166,477.04 | |
Premera BCBS
| Facility | $7,500.00 | $60,554.81 | $106,142.60 | |
Providence
| Facility | $7,500.00 | $67,280.19 | $166,477.04 |