| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26,337.90 | $50,387.50 | $102,374.00 | |
Cigna
| Facility | $77,019.75 | $77,019.75 | $81,832.05 | |
Premera BCBS
| Facility | $7,500.00 | $29,765.81 | $45,725.19 | |
Providence
| Facility | $7,500.00 | $28,983.64 | $81,832.05 |