| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28,771.90 | $55,044.00 | $111,835.00 | |
Cigna
| Facility | $84,137.50 | $84,137.50 | $89,394.53 | |
Premera BCBS
| Facility | $7,500.00 | $32,516.61 | $52,025.01 | |
Providence
| Facility | $7,500.00 | $32,976.87 | $89,394.53 |