| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29,122.70 | $55,715.30 | $113,198.00 | |
Cigna
| Facility | $85,163.52 | $85,163.52 | $90,484.65 | |
Premera BCBS
| Facility | $7,500.00 | $32,913.12 | $50,957.87 | |
Providence
| Facility | $7,500.00 | $32,300.46 | $90,484.65 |