| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26,011.80 | $49,763.60 | $101,106.00 | |
Cigna
| Facility | $76,066.16 | $76,066.16 | $80,818.88 | |
Premera BCBS
| Facility | $7,500.00 | $29,397.28 | $45,516.67 | |
Providence
| Facility | $7,500.00 | $28,851.47 | $80,818.88 |