| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29,454.30 | $56,349.60 | $114,487.00 | |
Cigna
| Facility | $86,133.21 | $86,133.21 | $91,514.93 | |
Premera BCBS
| Facility | $7,500.00 | $33,287.87 | $50,224.36 | |
Providence
| Facility | $7,500.00 | $31,835.52 | $91,514.93 |