| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28,436.10 | $54,401.70 | $110,530.00 | |
Cigna
| Facility | $83,155.74 | $83,155.74 | $88,351.43 | |
Premera BCBS
| Facility | $7,500.00 | $32,137.19 | $48,524.30 | |
Providence
| Facility | $7,500.00 | $30,757.90 | $88,351.43 |