| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24,904.20 | $47,644.60 | $96,801.00 | |
Cigna
| Facility | $72,827.16 | $72,827.16 | $77,377.50 | |
Premera BCBS
| Facility | $7,500.00 | $28,145.50 | $48,764.71 | |
Providence
| Facility | $7,500.00 | $30,910.29 | $77,377.50 |