| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29,426.80 | $56,297.00 | $114,380.00 | |
Cigna
| Facility | $86,052.73 | $86,052.73 | $91,429.43 | |
Premera BCBS
| Facility | $7,500.00 | $33,256.79 | $51,799.32 | |
Providence
| Facility | $7,500.00 | $32,833.83 | $91,429.43 |