| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28,698.90 | $54,904.50 | $111,551.00 | |
Cigna
| Facility | $83,924.25 | $83,924.25 | $89,167.95 | |
Premera BCBS
| Facility | $7,500.00 | $32,434.19 | $52,395.45 | |
Providence
| Facility | $7,500.00 | $33,211.69 | $89,167.95 |