| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32,177.30 | $61,559.00 | $125,071.00 | |
Cigna
| Facility | $94,095.91 | $94,095.91 | $99,975.15 | |
Premera BCBS
| Facility | $7,500.00 | $36,365.23 | $56,627.22 | |
Providence
| Facility | $7,500.00 | $35,894.07 | $99,975.15 |