| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32,835.00 | $62,817.20 | $127,628.00 | |
Cigna
| Facility | $96,019.19 | $96,019.19 | $102,018.60 | |
Premera BCBS
| Facility | $7,500.00 | $37,108.51 | $58,300.30 | |
Providence
| Facility | $7,500.00 | $36,954.58 | $102,018.60 |