| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20,208.09 | $38,660.60 | $78,547.89 | |
Cigna
| Facility | $59,094.61 | $59,094.61 | $62,786.93 | |
Premera BCBS
| Facility | $7,500.00 | $22,838.29 | $35,713.69 | |
Providence
| Facility | $7,500.00 | $22,637.69 | $62,786.93 |