| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27,722.00 | $53,035.60 | $107,754.00 | |
Cigna
| Facility | $81,067.49 | $81,067.49 | $86,132.70 | |
Premera BCBS
| Facility | $7,500.00 | $28,476.75 | $31,330.14 | |
Providence
| Facility | $7,500.00 | $18,050.43 | $86,132.70 |