| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27,522.50 | $52,653.90 | $106,979.00 | |
Cigna
| Facility | $80,484.07 | $80,484.07 | $85,512.83 | |
Premera BCBS
| Facility | $7,500.00 | $31,104.67 | $47,604.35 | |
Providence
| Facility | $7,500.00 | $30,174.77 | $85,512.83 |