| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27,607.80 | $52,817.10 | $107,310.00 | |
Cigna
| Facility | $80,733.53 | $80,733.53 | $85,777.88 | |
Premera BCBS
| Facility | $7,500.00 | $31,201.08 | $46,255.09 | |
Providence
| Facility | $7,500.00 | $29,319.52 | $85,777.88 |