| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29,179.10 | $55,823.20 | $113,418.00 | |
Cigna
| Facility | $85,328.49 | $85,328.49 | $90,659.93 | |
Premera BCBS
| Facility | $7,500.00 | $32,976.87 | $51,885.18 | |
Providence
| Facility | $7,500.00 | $32,888.25 | $90,659.93 |