| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30,103.80 | $57,592.10 | $117,012.00 | |
Cigna
| Facility | $88,032.34 | $88,032.34 | $93,532.73 | |
Premera BCBS
| Facility | $7,500.00 | $34,021.85 | $56,009.01 | |
Providence
| Facility | $7,500.00 | $35,502.21 | $93,532.73 |