| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18,745.50 | $35,862.50 | $72,862.80 | |
Cigna
| Facility | $54,817.53 | $54,817.53 | $58,242.60 | |
Premera BCBS
| Facility | $7,500.00 | $21,185.32 | $34,177.98 | |
Providence
| Facility | $7,500.00 | $21,664.26 | $58,242.60 |