| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35,537.30 | $67,987.00 | $138,131.00 | |
Cigna
| Facility | $103,921.54 | $103,921.54 | $110,414.70 | |
Premera BCBS
| Facility | $7,500.00 | $40,162.54 | $66,099.02 | |
Providence
| Facility | $7,500.00 | $41,897.92 | $110,414.70 |