| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30,010.20 | $57,413.10 | $116,648.00 | |
Cigna
| Facility | $87,758.74 | $87,758.74 | $93,242.03 | |
Premera BCBS
| Facility | $7,500.00 | $33,916.10 | $52,702.10 | |
Providence
| Facility | $7,500.00 | $33,406.06 | $93,242.03 |