| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32,951.90 | $63,041.00 | $128,082.00 | |
Cigna
| Facility | $96,361.20 | $96,361.20 | $102,381.98 | |
Premera BCBS
| Facility | $7,500.00 | $37,240.69 | $60,780.48 | |
Providence
| Facility | $7,500.00 | $38,526.68 | $102,381.98 |