| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31,576.00 | $60,408.70 | $122,734.00 | |
Cigna
| Facility | $92,337.60 | $92,337.60 | $98,106.98 | |
Premera BCBS
| Facility | $7,500.00 | $35,685.69 | $53,212.36 | |
Providence
| Facility | $7,500.00 | $33,729.51 | $98,106.98 |