| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29,978.50 | $57,352.60 | $116,525.00 | |
Cigna
| Facility | $87,666.20 | $87,666.20 | $93,143.70 | |
Premera BCBS
| Facility | $7,500.00 | $33,880.33 | $55,199.45 | |
Providence
| Facility | $7,500.00 | $34,989.06 | $93,143.70 |