| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17,924.09 | $34,291.00 | $69,670.00 | |
Cigna
| Facility | $52,415.44 | $52,415.44 | $55,690.43 | |
Premera BCBS
| Facility | $7,500.00 | $20,256.99 | $32,176.17 | |
Providence
| Facility | $7,500.00 | $20,395.38 | $55,690.43 |