| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21,008.90 | $40,192.60 | $81,660.50 | |
Cigna
| Facility | $61,436.35 | $61,436.35 | $65,274.98 | |
Premera BCBS
| Facility | $7,500.00 | $23,743.30 | $36,775.92 | |
Providence
| Facility | $7,500.00 | $23,311.01 | $65,274.98 |