| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27,254.20 | $52,140.60 | $105,936.00 | |
Cigna
| Facility | $79,699.47 | $79,699.47 | $84,679.20 | |
Premera BCBS
| Facility | $7,500.00 | $30,801.44 | $47,969.87 | |
Providence
| Facility | $7,500.00 | $30,406.47 | $84,679.20 |