| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29,137.90 | $55,744.20 | $113,257.00 | |
Cigna
| Facility | $85,207.78 | $85,207.78 | $90,531.68 | |
Premera BCBS
| Facility | $7,500.00 | $32,930.24 | $51,718.36 | |
Providence
| Facility | $7,500.00 | $32,782.51 | $90,531.68 |