| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29,957.90 | $57,313.10 | $116,445.00 | |
Cigna
| Facility | $87,605.84 | $87,605.84 | $93,079.58 | |
Premera BCBS
| Facility | $7,500.00 | $33,857.01 | $51,426.43 | |
Providence
| Facility | $7,500.00 | $32,597.46 | $93,079.58 |