| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26,342.00 | $50,395.40 | $102,390.00 | |
Cigna
| Facility | $77,031.82 | $77,031.82 | $81,844.88 | |
Premera BCBS
| Facility | $7,500.00 | $29,770.48 | $46,547.02 | |
Providence
| Facility | $7,500.00 | $29,504.57 | $81,844.88 |