| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29,320.90 | $56,094.30 | $113,969.00 | |
Cigna
| Facility | $85,742.92 | $85,742.92 | $91,100.25 | |
Premera BCBS
| Facility | $7,500.00 | $33,137.05 | $52,388.09 | |
Providence
| Facility | $7,500.00 | $33,207.03 | $91,100.25 |