| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30,416.10 | $58,189.60 | $118,226.00 | |
Cigna
| Facility | $88,945.70 | $88,945.70 | $94,503.15 | |
Premera BCBS
| Facility | $7,500.00 | $34,374.83 | $52,638.31 | |
Providence
| Facility | $7,500.00 | $33,365.64 | $94,503.15 |