| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26,628.20 | $50,942.90 | $103,502.00 | |
Cigna
| Facility | $77,868.73 | $77,868.73 | $82,734.08 | |
Premera BCBS
| Facility | $7,500.00 | $30,093.92 | $50,442.70 | |
Providence
| Facility | $7,500.00 | $31,973.91 | $82,734.08 |