| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35,713.40 | $68,324.00 | $138,816.00 | |
Cigna
| Facility | $104,436.56 | $104,436.56 | $110,961.90 | |
Premera BCBS
| Facility | $7,500.00 | $40,361.58 | $62,627.74 | |
Providence
| Facility | $7,500.00 | $39,697.60 | $110,961.90 |