| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18,599.70 | $35,583.40 | $72,295.89 | |
Cigna
| Facility | $54,391.02 | $54,391.02 | $57,789.45 | |
Premera BCBS
| Facility | $7,500.00 | $21,020.49 | $34,604.83 | |
Providence
| Facility | $7,500.00 | $21,934.83 | $57,789.45 |