| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32,983.60 | $63,101.50 | $128,205.00 | |
Cigna
| Facility | $96,453.74 | $96,453.74 | $102,480.30 | |
Premera BCBS
| Facility | $7,500.00 | $37,276.46 | $57,986.29 | |
Providence
| Facility | $7,500.00 | $36,755.54 | $102,480.30 |