| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29,133.70 | $55,736.30 | $113,241.00 | |
Cigna
| Facility | $85,195.71 | $85,195.71 | $90,518.85 | |
Premera BCBS
| Facility | $7,500.00 | $32,925.57 | $56,273.95 | |
Providence
| Facility | $7,500.00 | $35,670.15 | $90,518.85 |