| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30,801.30 | $58,926.70 | $119,723.00 | |
Cigna
| Facility | $90,072.31 | $90,072.31 | $95,700.15 | |
Premera BCBS
| Facility | $7,500.00 | $34,810.23 | $54,760.33 | |
Providence
| Facility | $7,500.00 | $34,710.71 | $95,700.15 |