| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18,320.40 | $35,049.10 | $71,210.30 | |
Cigna
| Facility | $53,574.23 | $53,574.23 | $56,921.63 | |
Premera BCBS
| Facility | $7,500.00 | $20,704.82 | $33,905.68 | |
Providence
| Facility | $7,500.00 | $21,491.66 | $56,921.63 |