| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26,383.30 | $50,474.40 | $102,550.00 | |
Cigna
| Facility | $77,152.53 | $77,152.53 | $81,973.13 | |
Premera BCBS
| Facility | $7,500.00 | $29,817.13 | $42,253.92 | |
Providence
| Facility | $7,500.00 | $26,783.32 | $81,973.13 |