| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32,019.00 | $61,256.30 | $124,456.00 | |
Cigna
| Facility | $93,633.20 | $93,633.20 | $99,483.53 | |
Premera BCBS
| Facility | $7,500.00 | $36,186.41 | $55,123.40 | |
Providence
| Facility | $7,500.00 | $34,940.85 | $99,483.53 |