| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30,783.50 | $58,892.40 | $119,654.00 | |
Cigna
| Facility | $90,020.00 | $90,020.00 | $95,644.58 | |
Premera BCBS
| Facility | $7,500.00 | $34,790.01 | $55,398.16 | |
Providence
| Facility | $7,500.00 | $35,115.01 | $95,644.58 |