| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32,226.80 | $61,653.70 | $125,264.00 | |
Cigna
| Facility | $94,240.76 | $94,240.76 | $100,129.05 | |
Premera BCBS
| Facility | $7,500.00 | $36,421.21 | $52,132.95 | |
Providence
| Facility | $7,500.00 | $33,045.31 | $100,129.05 |