| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29,014.00 | $55,507.30 | $112,776.00 | |
Cigna
| Facility | $84,845.65 | $84,845.65 | $90,146.93 | |
Premera BCBS
| Facility | $7,500.00 | $32,790.28 | $51,821.40 | |
Providence
| Facility | $7,500.00 | $32,847.82 | $90,146.93 |