| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24,900.00 | $47,636.70 | $96,785.00 | |
Cigna
| Facility | $72,815.09 | $72,815.09 | $77,364.67 | |
Premera BCBS
| Facility | $7,500.00 | $28,140.84 | $42,410.92 | |
Providence
| Facility | $7,500.00 | $26,882.84 | $77,364.67 |