| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33,095.00 | $63,314.70 | $128,638.00 | |
Cigna
| Facility | $96,779.65 | $96,779.65 | $102,826.58 | |
Premera BCBS
| Facility | $7,500.00 | $37,402.42 | $56,781.77 | |
Providence
| Facility | $7,500.00 | $35,992.03 | $102,826.58 |