| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28,593.00 | $54,701.80 | $111,139.00 | |
Cigna
| Facility | $83,614.42 | $83,614.42 | $88,838.78 | |
Premera BCBS
| Facility | $7,500.00 | $32,314.46 | $49,348.57 | |
Providence
| Facility | $7,500.00 | $31,280.38 | $88,838.78 |