| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29,465.30 | $56,370.70 | $114,530.00 | |
Cigna
| Facility | $86,165.39 | $86,165.39 | $91,549.13 | |
Premera BCBS
| Facility | $7,500.00 | $33,300.33 | $53,452.77 | |
Providence
| Facility | $7,500.00 | $33,881.90 | $91,549.13 |