| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23,521.40 | $44,999.20 | $91,426.20 | |
Cigna
| Facility | $68,783.44 | $68,783.44 | $73,081.13 | |
Premera BCBS
| Facility | $7,500.00 | $26,582.73 | $45,278.71 | |
Providence
| Facility | $7,500.00 | $28,700.64 | $73,081.13 |