| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31,259.50 | $59,803.20 | $121,504.00 | |
Cigna
| Facility | $91,412.17 | $91,412.17 | $97,123.73 | |
Premera BCBS
| Facility | $7,500.00 | $35,328.05 | $55,587.06 | |
Providence
| Facility | $7,500.00 | $35,234.74 | $97,123.73 |