| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34,286.60 | $65,594.30 | $133,270.00 | |
Cigna
| Facility | $100,264.09 | $100,264.09 | $106,528.73 | |
Premera BCBS
| Facility | $7,500.00 | $38,749.05 | $59,362.53 | |
Providence
| Facility | $7,500.00 | $37,627.89 | $106,528.73 |