| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19,205.09 | $36,741.60 | $74,649.10 | |
Cigna
| Facility | $56,161.41 | $56,161.41 | $59,670.45 | |
Premera BCBS
| Facility | $7,500.00 | $21,704.69 | $34,106.83 | |
Providence
| Facility | $7,500.00 | $21,619.17 | $59,670.45 |