| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20,545.20 | $39,305.50 | $79,858.20 | |
Cigna
| Facility | $60,080.40 | $60,080.40 | $63,834.30 | |
Premera BCBS
| Facility | $7,500.00 | $23,219.26 | $34,308.00 | |
Providence
| Facility | $7,500.00 | $21,746.68 | $63,834.30 |