| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24,922.00 | $47,678.90 | $96,870.60 | |
Cigna
| Facility | $72,879.47 | $72,879.47 | $77,433.08 | |
Premera BCBS
| Facility | $7,500.00 | $28,165.72 | $49,368.20 | |
Providence
| Facility | $7,500.00 | $31,292.82 | $77,433.08 |