| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31,448.00 | $60,163.80 | $122,237.00 | |
Cigna
| Facility | $91,963.40 | $91,963.40 | $97,709.40 | |
Premera BCBS
| Facility | $7,500.00 | $35,541.08 | $56,916.69 | |
Providence
| Facility | $7,500.00 | $36,077.56 | $97,709.40 |