| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27,521.20 | $52,651.30 | $106,973.00 | |
Cigna
| Facility | $80,480.05 | $80,480.05 | $85,508.55 | |
Premera BCBS
| Facility | $7,500.00 | $31,103.11 | $48,369.74 | |
Providence
| Facility | $7,500.00 | $30,659.94 | $85,508.55 |