| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17,826.40 | $34,104.10 | $69,290.30 | |
Cigna
| Facility | $52,129.76 | $52,129.76 | $55,386.90 | |
Premera BCBS
| Facility | $7,500.00 | $20,146.58 | $32,742.86 | |
Providence
| Facility | $7,500.00 | $20,754.59 | $55,386.90 |