| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26,508.50 | $50,713.90 | $103,037.00 | |
Cigna
| Facility | $77,518.67 | $77,518.67 | $82,362.14 | |
Premera BCBS
| Facility | $7,500.00 | $29,958.63 | $42,957.99 | |
Providence
| Facility | $7,500.00 | $27,229.61 | $82,362.14 |