| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28,800.80 | $55,099.30 | $111,947.00 | |
Cigna
| Facility | $84,222.00 | $84,222.00 | $89,484.30 | |
Premera BCBS
| Facility | $7,500.00 | $32,549.26 | $52,601.51 | |
Providence
| Facility | $7,500.00 | $33,342.31 | $89,484.30 |