| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21,965.20 | $42,022.00 | $85,377.50 | |
Cigna
| Facility | $64,232.75 | $64,232.75 | $68,246.10 | |
Premera BCBS
| Facility | $7,500.00 | $24,824.02 | $38,571.66 | |
Providence
| Facility | $7,500.00 | $24,449.27 | $68,246.10 |