| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34,713.10 | $66,410.30 | $134,928.00 | |
Cigna
| Facility | $101,511.40 | $101,511.40 | $107,853.98 | |
Premera BCBS
| Facility | $7,500.00 | $39,231.10 | $60,535.16 | |
Providence
| Facility | $7,500.00 | $38,371.18 | $107,853.98 |