| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24,163.90 | $46,228.50 | $93,923.80 | |
Cigna
| Facility | $70,662.46 | $70,662.46 | $75,077.55 | |
Premera BCBS
| Facility | $7,500.00 | $27,308.91 | $44,716.93 | |
Providence
| Facility | $7,500.00 | $28,344.54 | $75,077.55 |