| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27,027.20 | $51,706.30 | $105,053.00 | |
Cigna
| Facility | $79,035.57 | $79,035.57 | $83,973.83 | |
Premera BCBS
| Facility | $7,500.00 | $30,544.86 | $53,538.64 | |
Providence
| Facility | $7,500.00 | $33,936.32 | $83,973.83 |