| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28,344.00 | $54,225.40 | $110,171.00 | |
Cigna
| Facility | $82,886.16 | $82,886.16 | $88,065.00 | |
Premera BCBS
| Facility | $7,500.00 | $32,033.00 | $53,879.63 | |
Providence
| Facility | $7,500.00 | $34,152.47 | $88,065.00 |