| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30,204.20 | $57,784.30 | $117,402.00 | |
Cigna
| Facility | $88,326.07 | $88,326.07 | $93,844.80 | |
Premera BCBS
| Facility | $7,500.00 | $34,135.36 | $54,588.61 | |
Providence
| Facility | $7,500.00 | $34,601.86 | $93,844.80 |