| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28,610.90 | $54,736.00 | $111,209.00 | |
Cigna
| Facility | $83,666.74 | $83,666.74 | $88,894.35 | |
Premera BCBS
| Facility | $7,500.00 | $32,334.67 | $48,117.06 | |
Providence
| Facility | $7,500.00 | $30,499.77 | $88,894.35 |