| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35,328.10 | $67,586.89 | $137,318.00 | |
Cigna
| Facility | $103,309.95 | $103,309.95 | $109,764.90 | |
Premera BCBS
| Facility | $7,500.00 | $39,926.18 | $63,498.63 | |
Providence
| Facility | $7,500.00 | $40,249.62 | $109,764.90 |