| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104,844.00 | $200,579.00 | $407,522.00 | |
Cigna
| Facility | $306,594.30 | $306,594.30 | $325,750.73 | |
Premera BCBS
| Facility | $7,500.00 | $118,489.45 | $183,099.49 | |
Providence
| Facility | $7,500.00 | $116,060.54 | $325,750.73 |