| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33,827.00 | $64,715.10 | $131,484.00 | |
Cigna
| Facility | $98,920.21 | $98,920.21 | $105,100.88 | |
Premera BCBS
| Facility | $7,500.00 | $38,229.67 | $60,066.60 | |
Providence
| Facility | $7,500.00 | $38,074.18 | $105,100.88 |