| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28,721.00 | $54,946.60 | $111,637.00 | |
Cigna
| Facility | $83,988.63 | $83,988.63 | $89,236.35 | |
Premera BCBS
| Facility | $7,500.00 | $32,459.07 | $49,753.35 | |
Providence
| Facility | $7,500.00 | $31,536.95 | $89,236.35 |