| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28,928.70 | $55,344.10 | $112,444.00 | |
Cigna
| Facility | $84,596.19 | $84,596.19 | $89,881.88 | |
Premera BCBS
| Facility | $7,500.00 | $32,693.88 | $52,289.96 | |
Providence
| Facility | $7,500.00 | $33,144.83 | $89,881.88 |