| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29,307.10 | $56,068.00 | $113,915.00 | |
Cigna
| Facility | $85,702.68 | $85,702.68 | $91,057.50 | |
Premera BCBS
| Facility | $7,500.00 | $33,121.50 | $51,583.44 | |
Providence
| Facility | $7,500.00 | $32,696.99 | $91,057.50 |