| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30,157.40 | $57,694.80 | $117,220.00 | |
Cigna
| Facility | $88,189.26 | $88,189.26 | $93,699.45 | |
Premera BCBS
| Facility | $7,500.00 | $34,082.49 | $55,903.52 | |
Providence
| Facility | $7,500.00 | $35,435.33 | $93,699.45 |