| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23,843.30 | $45,615.10 | $92,677.60 | |
Cigna
| Facility | $69,724.96 | $69,724.96 | $74,081.48 | |
Premera BCBS
| Facility | $7,500.00 | $26,946.60 | $43,092.91 | |
Providence
| Facility | $7,500.00 | $27,315.13 | $74,081.48 |