| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28,818.60 | $55,133.50 | $112,016.00 | |
Cigna
| Facility | $84,274.30 | $84,274.30 | $89,539.88 | |
Premera BCBS
| Facility | $7,500.00 | $32,569.48 | $50,901.45 | |
Providence
| Facility | $7,500.00 | $32,264.70 | $89,539.88 |