| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29,319.50 | $56,091.70 | $113,963.00 | |
Cigna
| Facility | $85,738.89 | $85,738.89 | $91,095.98 | |
Premera BCBS
| Facility | $7,500.00 | $33,135.50 | $55,263.24 | |
Providence
| Facility | $7,500.00 | $35,029.49 | $91,095.98 |