| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30,252.40 | $57,876.40 | $117,589.00 | |
Cigna
| Facility | $88,466.89 | $88,466.89 | $93,994.43 | |
Premera BCBS
| Facility | $7,500.00 | $34,189.79 | $55,407.98 | |
Providence
| Facility | $7,500.00 | $35,121.23 | $93,994.43 |