| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $49,925.30 | $95,513.00 | $194,057.00 | |
Cigna
| Facility | $145,996.32 | $145,996.32 | $155,118.38 | |
Premera BCBS
| Facility | $7,500.00 | $56,423.17 | $77,859.66 | |
Providence
| Facility | $7,500.00 | $49,352.59 | $155,118.38 |