| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18,616.20 | $35,615.00 | $72,360.10 | |
Cigna
| Facility | $54,439.31 | $54,439.31 | $57,840.75 | |
Premera BCBS
| Facility | $7,500.00 | $21,039.15 | $28,999.28 | |
Providence
| Facility | $7,500.00 | $18,381.66 | $57,840.75 |