| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28,352.20 | $54,241.20 | $110,203.00 | |
Cigna
| Facility | $82,910.30 | $82,910.30 | $88,090.65 | |
Premera BCBS
| Facility | $7,500.00 | $32,042.33 | $49,022.30 | |
Providence
| Facility | $7,500.00 | $31,073.57 | $88,090.65 |