| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64,555.40 | $123,502.00 | $250,923.00 | |
Cigna
| Facility | $188,779.26 | $188,779.26 | $200,574.45 | |
Premera BCBS
| Facility | $7,500.00 | $72,957.49 | $116,632.49 | |
Providence
| Facility | $7,500.00 | $73,929.36 | $200,574.45 |